EDUCARE COMMUNITY LIVING CORPORATION - TEXAS (NPI# 1053749184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053749184 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING CORPORATION - TEXAS |
| Other Organization Name | SPRUCE RIDGE |
| Practice Address |
10026 Spruce Ridge Dr Converse TX 78109-2739 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 2105901348 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER) |
| Authorized Official Telephone | 5023942100 |
| 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 |
| Other Name | Type Code |
|---|---|
| Spruce Ridge | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285299636 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 6647 Cades Cv, San Antonio, TX 78238-2238 | 2019-05-01 |
| 1730744186 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 7422 Quail Run Dr, San Antonio, TX 78209-3129 | 2019-05-01 |
| 1649672536 | Educare Community Living Corporation - Texas | Community/Behavioral Health | 4102 S 31st St, Suite 1100, Temple, TX 76502-3350 | 2014-09-23 |
| 1649609132 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5303 Vista Run Dr, San Antonio, TX 78247-4684 | 2013-11-05 |
| 1700215290 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 12342 Mapletree St, San Antonio, TX 78249-2429 | 2013-11-05 |
| 1316376924 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 14038 Boulder Oaks, San Antonio, TX 78247-3103 | 2013-11-04 |
| 1710316328 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5119 Stormy Sunset, San Antonio, TX 78247-1721 | 2013-11-04 |
| 1639508245 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5223 Stormy Sunset, San Antonio, TX 78247-1723 | 2013-11-04 |
| 1902235518 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 17002 Vista Briar Dr, San Antonio, TX 78247-4636 | 2013-11-04 |
| 1417386392 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 106 Granada Dr, San Antonio, TX 78216-3546 | 2013-11-01 |
| Street Address |
10026 SPRUCE RIDGE DR |
| City | CONVERSE |
| State | TX |
| Zip Code | 78109-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417583642 | Jennifer E Blackmon | Nurse Practitioner | 10134 Rush Canyon, Converse, TX 78109 | 2020-03-19 |
| 1962913830 | Yvette Marie Martinez | Nurse Practitioner | 7585 Kitty Hawk Ste 201, Converse, TX 78109 | 2017-10-19 |
| 1184144966 | Norma Irene Ayala | Driver | 7460 Kitty Hawk Rd Site 430, Converse, TX 78109 | 2017-06-22 |
| 1497285753 | Miguel Antonio Solis | Social Worker | 8818 Olmstead Park, Converse, TX 78109 | 2017-06-19 |
| 1417482324 | Converse Dentistry | Dentist | 6643 Binz Engleman Road, 6643 Binz Engleman Road, San Antonio, TX 78109 | 2017-04-28 |
| 1417305806 | Kashi Dental LLC | Clinic/Center | 9163 Fm 78, Suite # 1, Converse, TX 78109 | 2016-05-26 |
| 1427499953 | Hardik A Bhadeshiya | Dentist | 8455 Crestway Road Suite 101, Converse, TX 78109 | 2013-07-12 |
| 1548515075 | Soumava Sen, Dds, P.C. | Dentist | 8455 Crestway Road, Suite 101, Converse, TX 78109 | 2012-07-20 |
| 1427326131 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8027 Kitty Hawk Rd, Converse, TX 78109 | 2011-12-08 |
| 1891925491 | Thaddeus R Tregeagle | Dentist | 9135 Schaefer Rd, 3, Converse, TX 78109 | 2009-07-17 |
| Find all providers in zip 78109 | ||||
| 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 |
|---|---|---|---|---|
| 1174021372 | Amsaf Home Health Services Inc. | Intermediate Care Facility, Mentally Retarded | 7539 Copper Kettle, Converse, TX 78109-3936 | 2018-01-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.