EDUCARE COMMUNITY LIVING CORPORATION - NEVADA (NPI# 1033447859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033447859 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING CORPORATION - NEVADA |
| Practice Address |
3811 W Charleston Blvd Suite 210 Las Vegas NV 89102-1846 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 8008660860 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-08 |
| Authorized Official Name | MS. DEENA OMBRES (PRIVACY OFFICER) |
| Authorized Official Telephone | 5023942387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425133 | Educare Community Living Corporation - Nevada | Intermediate Care Facility, Mentally Retarded | 2258 Bridlewood Dr, Las Vegas, NV 89119-6121 | 2020-07-24 |
| 1295344430 | Educare Community Living Corporation - Nevada | Intermediate Care Facility, Mentally Retarded | 4575 W Capovilla Ave, Las Vegas, NV 89118-5044 | 2020-07-23 |
| 1982808200 | Educare Community Living Corporation - Nevada | Intermediate Care Facility, Mentally Retarded | 2025 Houston Dr, Las Vegas, NV 89104-2009 | 2007-06-12 |
| 1073717393 | Educare Community Living Corporation - Nevada | Intermediate Care Facility, Mentally Retarded | 3829 Tumbleweed Ave, Las Vegas, NV 89121-4541 | 2007-06-12 |
| 1083817605 | Educare Community Living Corporation - Nevada | Intermediate Care Facility, Mentally Retarded | 54 E Ford Ave, Las Vegas, NV 89123-1667 | 2007-06-10 |
| 1659720019 | Educare Community Living Corporation - Nevada | Intermediate Care Facility, Mentally Retarded | 7095 Cameron St, Las Vegas, NV 89118-5018 | 2016-06-07 |
| 1427252741 | Educare Community Living Corporation - Nevada | Intermediate Care Facility, Mentally Retarded | 3811 W Charleston Blvd, Suite 210, Las Vegas, NV 89102-1846 | 2007-06-12 |
| 1063616381 | Educare Community Living Corporation - Nevada | Intermediate Care Facility, Mentally Retarded | 3811 W Charleston Blvd, Suite 210, Las Vegas, NV 89102-1846 | 2007-06-12 |
| Street Address |
3811 W CHARLESTON BLVD SUITE 210 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063473460 | Educare Community Living Corp | Intermediate Care Facility, Mental Illness | 3811 W Charleston Blvd, 210, Las Vegas, NV 89102-1846 | 2006-03-28 |
| 1134535081 | Brian Paul Mantor | Dentist | 3811 W Charleston Blvd, Suite 201, Las Vegas, NV 89102-1836 | 2014-07-10 |
| 1396906863 | David James Trylovich | Dentist | 3811 W Charleston Blvd, #201, Las Vegas, NV 89102-1846 | 2008-06-18 |
| 1457512923 | Gary Dee Goaslind | Dentist | 3811 W Charleston Blvd, #201, Las Vegas, NV 89102-1846 | 2008-06-18 |
| 1295996627 | Ryan Scott Gifford | Dentist | 3811 W Charleston Blvd, #201, Las Vegas, NV 89102-1846 | 2008-06-18 |
| 1427252741 | Educare Community Living Corporation - Nevada | Intermediate Care Facility, Mentally Retarded | 3811 W Charleston Blvd, Suite 210, Las Vegas, NV 89102-1846 | 2007-06-12 |
| 1063616381 | Educare Community Living Corporation - Nevada | Intermediate Care Facility, Mentally Retarded | 3811 W Charleston Blvd, Suite 210, Las Vegas, NV 89102-1846 | 2007-06-12 |
| 1619028800 | Trylovich, Gifford, Ltd. | Dentist | 3811 W Charleston Blvd, #201, Las Vegas, NV 89102-1846 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698556 | Therapy of Southern Nevada | Community/Behavioral Health | 4100 W Flamingo Rd Ste 1442, Las Vegas, NV 89103-3924 | 2020-10-30 |
| 1114527355 | Nevada Behavioral Services | Community/Behavioral Health | 2880 E Flamingo Rd Ste G, Las Vegas, NV 89121-5223 | 2020-10-27 |
| 1295341733 | P Saint Roc LLC | Community/Behavioral Health | 1700 Alta Dr Apt 2124, Las Vegas, NV 89106-4174 | 2020-09-21 |
| 1609482181 | Kristie Leialoha Dias | Community/Behavioral Health | 9986 Catseye Cove Ct, Las Vegas, NV 89183-7203 | 2020-09-19 |
| 1326653551 | Serene Behavioral Health LLC | Community/Behavioral Health | 5800 W Charleston Blvd Apt 2051, Las Vegas, NV 89146-1297 | 2020-09-14 |
| 1124630678 | Robert Thomas Marbury IIi | Community/Behavioral Health | 501 S Rancho Dr Ste B10, Las Vegas, NV 89106-4830 | 2020-08-17 |
| 1124637335 | Monica Petroff | Community/Behavioral Health | 3540 W Sahara Ave #e6, Las Vegas, NV 89102-9253 | 2020-07-24 |
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1023635273 | Greatness Through Wellness Services | Community/Behavioral Health | 2350 S Jones Blvd Ste 206mon85, Las Vegas, NV 89146-3103 | 2020-07-02 |
| 1568088391 | Bridgeway Family Services LLC | Community/Behavioral Health | 11186 Fort Bowie St, Las Vegas, NV 89179-1223 | 2020-06-17 |
| Find all providers in LAS VEGAS | ||||
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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.