EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP (NPI# 1134249162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134249162 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP |
| Other Organization Name | WTX IDLEWOOD |
| Practice Address |
4 Idlewood Ln Canyon TX 79015-2027 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 8067939694 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2008-07-15 |
| 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 | 001000259 | 05 |
| Other Name | Type Code |
|---|---|
| WTX Idlewood | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033232665 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 6895 Fm 3150, Lufkin, TX 75904-6465 | 2007-04-09 |
| 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 |
| Street Address |
4 IDLEWOOD LN |
| City | CANYON |
| State | TX |
| Zip Code | 79015-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194195826 | Melani Kelly | Specialist/Technologist | 702 3rd Avenue, Canyon, TX 79015 | 2015-10-07 |
| 1063846111 | Erin Ann Park | Physical Medicine & Rehabilitation | 907 23rd St., Canyon, TX 79015 | 2013-08-26 |
| 1003177197 | True Blessings LLC | Home Health | 1317 4th Avenue, Canyon, TX 79015 | 2012-06-05 |
| 1245460625 | Gloria Lewis | Nurse Practitioner | 1619 4th Ave, Canyon, TX 79015 | 2009-07-21 |
| 1376669861 | Assisted Living Concepts Inc | Assisted Living Facility | 2 Cottonwood Lane, Canyon, TX 79015 | 2007-03-22 |
| 1376568642 | D'aun Chrie Bowers | Emergency Medicine | 500 20th St, Canyon, TX 79015 | 2006-07-13 |
| 1760931497 | Kershen Health Services | Physical Therapist | 1613 4th Ave, Canyon, TX 79015 | 2016-09-22 |
| 1568730034 | Katherine Sheri Rogers | Physical Therapist | 15 Hospital Drive, Canyon, TX 79015 | 2011-12-12 |
| 1437273158 | Tommy W Brian I | Nurse Practitioner | 911 23rd St, Canyon, TX 79015 | 2007-03-19 |
| 1194377754 | Emily Collins | Occupational Therapist | 18 Case Ln, Canyon, TX 79015-1796 | 2019-07-14 |
| Find all providers in zip 79015 | ||||
| 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 |
|---|---|---|---|---|
| 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.