EDUCARE COMMUNITY LIVING CORPORATION - TEXAS (NPI# 1912178252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912178252 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING CORPORATION - TEXAS |
| Other Organization Name | DALLAS METROCARE SERVICES |
| Practice Address |
14255 Haymeadow Dr Dallas TX 75254-2827 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 9722396643 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-07-18 |
| 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 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001016007 | 05 | |
| TX | 383501 | 05 |
| Other Name | Type Code |
|---|---|
| Dallas Metrocare Services | 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 |
14255 HAYMEADOW DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75254-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902025091 | Mary Varghese | Social Worker | 14255 Haymeadow Dr, Dallas, TX 75254-2827 | 2007-04-25 |
| 1437370293 | Dallas County Mhmr | Intermediate Care Facility, Mentally Retarded | 14255 Haymeadow Dr, Dallas, TX 75254-2827 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119479 | Danielle Nicole Tolliver | Occupational Therapist | 4651 Dallas Pkwy, Suite 200, Dallas, TX 75254 | 2020-06-19 |
| 1164981593 | Christopher Richardson | Behavior Technician | 14785 Preston Rd Suite 550, Dallas, TX 75254 | 2019-03-15 |
| 1295224582 | Gerald Blake Ashlock | Counselor | 14400 Montfort Dr, Apt 1605, Dallas, TX 75254 | 2018-05-02 |
| 1851890685 | Gayle Deniese Hillman | Counselor | 14117 Montfort Dr, Dallas, TX 75254 | 2018-02-07 |
| 1568987386 | Riverstone Care LLC | Community/Behavioral Health | 14145 Noel Rd, 206, Dallas, TX 75254 | 2017-08-14 |
| 1548781594 | Cataract Vision Institute of Texas, Pllc | Ophthalmology | 14160 N. Dallas Pkwy, Ste 100, Dallas, TX 75254 | 2017-06-29 |
| 1366972911 | Terry Ku | Dentist | 5100 Belt Line Rd #312, Addison, TX 75254 | 2017-06-15 |
| 1932552338 | Rashonda Poston | Developmental Therapist | 5902 Preston Oaks Rd, Apt 2093, Dallas, TX 75254 | 2016-07-20 |
| 1326452699 | Anita Griffin | Specialist/Technologist | 5220 Spring Valley Road, Suite 400, Dallas, TX 75254 | 2014-06-16 |
| 1669721973 | Steve Willis Tobias | Physician Assistant | 5917 Beltline, Dallas, TX 75254 | 2012-08-31 |
| Find all providers in zip 75254 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1467838540 | D&d Care Homes Texas LLC | Intermediate Care Facility, Mentally Retarded | 5218 Pershing St, Dallas, TX 75206-6524 | 2015-07-30 |
| 1144491556 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 3111 Le Harve Dr, Dallas, TX 75211-1679 | 2008-03-13 |
| 1952572364 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5922 Lewisburg Ln, Dallas, TX 75237-2028 | 2008-03-13 |
| 1336368265 | Dallas County Mhmr | Intermediate Care Facility, Mentally Retarded | 6946 Forest Ln, Dallas, TX 75230-2304 | 2007-04-25 |
| 1053530980 | Dallas County Mhmr | Intermediate Care Facility, Mentally Retarded | 8014 Inwood Rd, Dallas, TX 75209-3336 | 2007-04-25 |
| 1659590586 | Dallas County Mhmr | Intermediate Care Facility, Mentally Retarded | 14163 Haymeadow Dr, Dallas, TX 75254-2825 | 2007-04-25 |
| 1588737159 | Evergreen Presbyterian Ministries of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 10810 Sanden Dr, Dallas, TX 75238-1337 | 2006-11-15 |
| 1730350075 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 14163 Haymeadow Dr, Dallas, TX 75254-2825 | 2008-03-14 |
| Find all providers in DALLAS | ||||
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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.