EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA (NPI# 1174643787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174643787 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA |
| Other Organization Name | EDUCARE RAL HUNTLEIGH |
| Practice Address |
3300 Huntleigh Dr Raleigh NC 27604-3312 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 9198591450 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-07-16 |
| Authorized Official Name | DEENA OMBRES (PRIVACY OFFICER) |
| Authorized Official Telephone | 5023972387 |
| 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 |
|---|---|---|---|
| NC | 3406385 | 05 |
| Other Name | Type Code |
|---|---|
| Educare Ral Huntleigh | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669897369 | Educare Community Living Corporation - North Carolina | In Home Supportive Care | 216 E. Parker St., Calypso, NC 28325 | 2014-03-04 |
| 1225461460 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 309 Westonridge Run, Garner, NC 27529-5327 | 2013-08-12 |
| 1184057416 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 3906 Vesta Dr, Raleigh, NC 27603-3846 | 2013-08-09 |
| 1508299835 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 1514 Kennon Rd, Garner, NC 27529-4431 | 2013-08-09 |
| 1407289739 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 225 Buck Jones Rd, Raleigh, NC 27606-1220 | 2013-08-09 |
| 1992137830 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 2925 Loon Dr, Fayetteville, NC 28306-9197 | 2013-08-02 |
| 1356773204 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 600 Rawls Dr, Raleigh, NC 27610-2842 | 2013-08-02 |
| 1265864102 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 428 Tippett Rd, Zebulon, NC 27597-7897 | 2013-08-02 |
| 1457783300 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 8612 Keegan Ct, Raleigh, NC 27613-3654 | 2013-08-02 |
| 1255763108 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 2022 Ford Gates Dr, Garner, NC 27529-3766 | 2013-08-02 |
| Street Address |
3300 HUNTLEIGH DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487087441 | Educare Community Living Corporation - North Carolina | Intermediate Care Facility, Mentally Retarded | 3300 Huntleigh Dr, Raleigh, NC 27604-3312 | 2013-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| 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 |
|---|---|---|---|---|
| 1902083975 | Hilltop Home Inc. | Intermediate Care Facility, Mentally Retarded | 2820 Kidd Rd, Raleigh, NC 27610-1842 | 2008-01-22 |
| 1407978406 | Blessing Homes Inc. | Intermediate Care Facility, Mentally Retarded | 4229 Timberbrook Dr, Raleigh, NC 27616-9560 | 2007-04-03 |
| 1669592887 | Educare Community Living Corporation - North Carolina | Intermediate Care Facility, Mentally Retarded | 4409 Rockwood Dr, Raleigh, NC 27612-3542 | 2007-03-30 |
| 1992825129 | Educare Community Living Corporation - North Carolina | Intermediate Care Facility, Mentally Retarded | 8609 Stonegate Dr, Raleigh, NC 27615-2325 | 2007-03-30 |
| 1952421182 | Educare Community Living Corporation - North Carolina | Intermediate Care Facility, Mentally Retarded | 2533 Rolling Meadows Dr, Raleigh, NC 27603-9690 | 2007-03-30 |
| 1215057856 | Educare Community Living Corporation - North Carolina | Intermediate Care Facility, Mentally Retarded | 6208 Blanche Dr, Raleigh, NC 27607-5008 | 2007-03-29 |
| 1194845735 | Educare Community Living Corporation - North Carolina | Intermediate Care Facility, Mentally Retarded | 210 Dartmouth Rd, Raleigh, NC 27609-5846 | 2007-03-29 |
| 1174643712 | Educare Community Living Corporation - North Carolina | Intermediate Care Facility, Mentally Retarded | 5117 Forest Creek Rd, Raleigh, NC 27606-9419 | 2007-03-29 |
| 1114077856 | Tlc Operations, Inc. | Intermediate Care Facility, Mentally Retarded | 745 Chappell Dr, Raleigh, NC 27606-3215 | 2007-01-12 |
| 1700936770 | Tlc Operations, Inc. | Intermediate Care Facility, Mentally Retarded | 737 Chappell Drive, Raleigh, NC 27606-3215 | 2007-01-11 |
| Find all providers in RALEIGH | ||||
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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.