EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP (NPI# 1760502629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760502629 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP |
| Other Organization Name | HARI SAM HOUSTON |
| Practice Address |
580 N Sam Houston Blvd San Benito TX 78586-4669 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 9563991020 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2007-04-01 |
| Last Update Date | 2008-07-17 |
| 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 | 001000487 | 05 |
| Other Name | Type Code |
|---|---|
| HARI SAM HOUSTON | 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 |
580 N SAM HOUSTON BLVD |
| City | SAN BENITO |
| State | TX |
| Zip Code | 78586-4669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903542 | Ana Cecilia Santana | Counselor | 401 E. Business Hwy 77, San Benito, TX 78586 | 2019-10-11 |
| 1629636519 | Jodie Bulnes | Social Worker | 2310 W. Business Hwy 77, San Benito, TX 78586 | 2019-06-05 |
| 1730651225 | Alma De La Garza | Licensed Vocational Nurse | 24369 Resaca Llena Drive, San Benito, TX 78586 | 2018-12-20 |
| 1144719428 | Fernando Vasquez Jr. | Physician Assistant | 400 Us-77 Bus, San Benito, TX 78586 | 2018-05-02 |
| 1447660048 | Rodeo Dental & Orthodontics | Dentist | 1141 Us Business 77, Ste G, San Benito, TX 78586 | 2014-05-05 |
| 1528309044 | Sergio De La Garza | Pharmacist | 1095 W. Business 77, San Benito, TX 78586 | 2013-03-07 |
| 1255692489 | Priscilla Sustaita | Speech-Language Pathologist | 935 S. Travis Rd., San Benito, TX 78586 | 2012-06-05 |
| 1740572148 | Infinity Rehab Services, LLC | Occupational Therapist | 115 N Williams Road, Ste. A, San Benito, TX 78586 | 2011-05-04 |
| 1346556305 | Deborah Gallaga | Pharmacist | 1095 W Highway 77, San Benito, TX 78586 | 2010-08-27 |
| 1811201478 | Pete Martinez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26619 Line G Road, San Benito, TX 78586 | 2010-08-05 |
| Find all providers in zip 78586 | ||||
| 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 | ||||
| City | SAN BENITO |
| Zip Code | 78586 |
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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.