EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP (NPI# 1033232665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033232665 |
Entity Type | Organization |
Organization Name | EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP |
Other Organization Name | ETX WESTSIDE |
Practice Address |
6895 Fm 3150 Lufkin TX 75904-6465 |
Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
Practice Telephone | 9366391557 |
Mailing Telephone | 8008660860 |
Enumeration Date | 2007-04-09 |
Last Update Date | 2008-07-11 |
Authorized Official Name | DEENA OMBRES (PRIVACY OFFICER) |
Authorized Official Telephone | 5023942387 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 001000266 | 05 |
Other Name | Type Code |
---|---|
ETX WESTSIDE | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659494284 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 511 Russell St, Palestine, TX 75801-8161 | 2007-04-09 |
1184747719 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 1805 Canyon Creek Dr, Temple, TX 76502-3210 | 2007-04-09 |
1386766152 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 702 Marion St, Lufkin, TX 75904-3638 | 2007-04-04 |
1043332828 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 1516 W 5th Ave, Corsicana, TX 75110-4207 | 2007-04-04 |
1194847962 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 2505 Mariposa Ln, Harlingen, TX 78550-7849 | 2007-04-04 |
1669594446 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 110 John Glenn Dr, Del Rio, TX 78840-2315 | 2007-04-04 |
1376665133 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 1748 Spinnaker Ln, Azle, TX 76020-4951 | 2007-04-04 |
1366564130 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 2121 Reverchon Dr, Arlington, TX 76017-4567 | 2007-04-04 |
1275655045 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 3700 Grifbrick Dr, Plano, TX 75075-1514 | 2007-04-04 |
1669594420 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 4308 Barcelona Dr, Ft Worth, TX 76133-5410 | 2007-04-04 |
Street Address |
6895 FM 3150 |
City | LUFKIN |
State | TX |
Zip Code | 75904-6465 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
Find all providers in zip 75904 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386766152 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 702 Marion St, Lufkin, TX 75904-3638 | 2007-04-04 |
1679695449 | Educare Comm Living Lmtd Partnership | Intermediate Care Facility, Mentally Retarded | Rr 12 Box 6500, Lufkin, TX 75904-9020 | 2007-04-04 |
1588786354 | Educare Comm Living Lmtd Partnership | Intermediate Care Facility, Mentally Retarded | 1500 Southwood Dr, Lufkin, TX 75904-4946 | 2007-04-04 |
1215057179 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 462 White Dove Dr, Lufkin, TX 75901-9798 | 2007-04-01 |
1770636037 | Burke Center | Intermediate Care Facility, Mentally Retarded | 2105 N John Redditt, Lufkin, TX 75904 | 2007-01-19 |
1316067275 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 105 Cooper St, Lufkin, TX 75904-1805 | 2007-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225639271 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3323 Gail Ln, Tyler, TX 75701-7425 | 2020-11-05 |
1952902900 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2500 Terry Pl, Greenville, TX 75402-7131 | 2020-11-05 |
1811598865 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 100 Patti J St, Greenville, TX 75402-8053 | 2020-11-05 |
1124629175 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2616 Pounds Ave, Tyler, TX 75701-5627 | 2020-11-05 |
1568063527 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2525 Preston Ave, Tyler, TX 75701-4644 | 2020-11-05 |
1104427509 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2812 Shaffer Ln, Tyler, TX 75702-1653 | 2020-11-03 |
1265033658 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3506 Garber Cir, Greenville, TX 75402-6234 | 2020-11-03 |
1487255873 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3600 New Copeland Rd, Tyler, TX 75701-8839 | 2020-11-03 |
1306446000 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 Braddock Pl, Dallas, TX 75232-2902 | 2020-10-30 |
1578179750 | Keondra C Johnson | Intermediate Care Facility, Mentally Retarded | 2140 Medical District Dr Apt 2052, Dallas, TX 75235-8097 | 2020-09-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.