EDUCARE COMMUNITY LIVING CORPORATION - NEVADA (NPI# 1063616381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063616381 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING CORPORATION - NEVADA |
| Other Organization Name | EC SLIDE |
| 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 | 7028800961 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |
| 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 | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| EC Slide | Other Name - Individual/Organization |
| 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 |
| 1033447859 | Educare Community Living Corporation - Nevada | Community/Behavioral Health | 3811 W Charleston Blvd, Suite 210, Las Vegas, NV 89102-1846 | 2009-12-07 |
| 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 |
| 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 |
| 1033447859 | Educare Community Living Corporation - Nevada | Community/Behavioral Health | 3811 W Charleston Blvd, Suite 210, Las Vegas, NV 89102-1846 | 2009-12-07 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 1578124939 | Centers for Neurobehavioral Excellence | Intermediate Care Facility, Mentally Retarded | 2209 Barchetta Dr, Las Vegas, NV 89134-6028 | 2019-06-26 |
| 1134677735 | Pamela Turner | Intermediate Care Facility, Mentally Retarded | 5831 Delonee Skies Ave, Las Vegas, NV 89131-2087 | 2016-09-13 |
| 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 |
| 1811043912 | Danville Services of Nevada, LLC | Intermediate Care Facility, Mentally Retarded | 7095 Cameron St, Las Vegas, NV 89118-5018 | 2007-01-25 |
| 1669528576 | Danville Services of Nevada, LLC | Intermediate Care Facility, Mentally Retarded | 3640 Citadel Cir, Las Vegas, NV 89118-5215 | 2007-01-25 |
| 1962558072 | Danville Services of Nevada, LLC | Intermediate Care Facility, Mentally Retarded | 115 E Shelbourne Ave, Las Vegas, NV 89123-2163 | 2007-01-25 |
| 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.