Educare Community Living Corporation - Texas in Ft Worth - Intermediate Care Facility, Intellectual Disabilities
Educare Community Living Corporation - Texas - NPI 1649393414
Educare Community Living Corporation - Texas is a Intermediate Care Facility, Intellectual Disabilities in Ft Worth, Texas. Educare Community Living Corporation - Texas practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Educare Community Living Corporation - Texas is 1649393414. The last update date is 2021-02-02.
Educare Community Living Corporation - Texas's current location address is 1641 Vinewood St, Ft Worth, Texas. You can contact this provider via phone number 8174577095. The mailing address for Educare Community Living Corporation - Texas is 1641 Vinewood St, Ft Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Educare Community Living Corporation - Texas |
|---|---|
| Address | 1641 Vinewood St, Ft Worth, Texas |
| Phone Number | 8174577095 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROVIDER E |
|---|---|
| Authorized Official Name | Whobrey Timothy |
| Telephone Number | 5026307249 |
NPI Number Detail
| NPI Number | 1649393414 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2021-02-02 |
Provider Mailing Address Detail
| Address | 1641 Vinewood St |
|---|---|
| City | Ft Worth |
| State | Texas (TX) |
| Post Code | 761122960 |
| Phone Number | 8174577095 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 364801 | TX | -- |
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What is the unique identifier code issued to Educare Community Living Corporation - Texas by the Centers for Medicare & Medicaid Services?
The Educare Community Living Corporation - Texas has been assigned the NPI (National Provider Identifier) 1649393414. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Educare Community Living Corporation - Texas is physically located?
The Educare Community Living Corporation - Texas is situated at the following address: 1641 Vinewood St, Ft Worth, TX 761122960.
What is Educare Community Living Corporation - Texas's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Educare Community Living Corporation - Texas's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649393414 to Educare Community Living Corporation - Texas?
The Centers for Medicare & Medicaid Services assigned the 1649393414 to Educare Community Living Corporation - Texas on 2007-04-09.
When was the information regarding Educare Community Living Corporation - Texas most recently updated?
The details pertaining to the Educare Community Living Corporation - Texas, including its address, specialty, and other relevant information, were last refreshed on 2021-02-02.
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