Educare Community Living Corporation - Texas in Ft Worth - Intermediate Care Facility, Intellectual Disabilities
Educare Community Living Corporation - Texas - NPI 1720101512
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 1720101512. The last update date is 2021-02-02.
Educare Community Living Corporation - Texas's current location address is 6913 Loma Vista Dr, Ft Worth, Texas. You can contact this provider via phone number 8172937575. The mailing address for Educare Community Living Corporation - Texas is 6913 Loma Vista Dr, Ft Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Educare Community Living Corporation - Texas |
|---|---|
| Address | 6913 Loma Vista Dr, Ft Worth, Texas |
| Phone Number | 8172937575 |
| 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 | 1720101512 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2021-02-02 |
Provider Mailing Address Detail
| Address | 6913 Loma Vista Dr |
|---|---|
| City | Ft Worth |
| State | Texas (TX) |
| Post Code | 761336428 |
| Phone Number | 8172937575 |
| 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 |
|---|---|---|---|
| 720002 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Educare Community Living Corporation - Texas by the Centers for Medicare & Medicaid Services?
The Educare Community Living Corporation - Texas has been issued the NPI (National Provider Identifier) 1720101512 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Educare Community Living Corporation - Texas is physically located?
The Educare Community Living Corporation - Texas is physically situated at the following address: 6913 Loma Vista Dr, Ft Worth, TX, 761336428.
What is Educare Community Living Corporation - Texas's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Educare Community Living Corporation - Texas is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720101512 to Educare Community Living Corporation - Texas?
The Centers for Medicare & Medicaid Services assigned the 1720101512 to Educare Community Living Corporation - Texas on 2007-04-09.
As of what date were the details pertaining to Educare Community Living Corporation - Texas last refreshed?
The information related to the Educare Community Living Corporation - Texas, including its address, specialty, and other relevant details, was last updated on 2021-02-02.
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