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EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST NPI 1023433679


NPI Information

NPI: 1023433679
Provider Name: EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST

Other Name: DESTINY GH

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
8002 FAWN TERRACE DR
HOUSTON, TX
ZIP 77071
Phone: (502) 394-2100
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EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST is an intermediate care facility mentally retarded in Houston, TX. The provider is (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. EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST NPI is 1023433679. The provider is registered as an organization entity type.
The provider Other Name Is Destiny Gh.

The provider's business location address is:

8002 FAWN TERRACE DR
HOUSTON, TX
ZIP 77071-723
Phone: (502) 394-2100

The provider's authorized official is Deena G. Ombres .
The authorized official title is Assoc. Gen. Counsel/privacy Officer and has the following contact phone number (502) 394-2100.

The enumeration date for this NPI number is 2/19/2014 and was last updated on 2/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally RetardedTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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