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EDUCARE COMMUNITY LIVING CORPORATION - TEXAS NPI 1730520131


NPI Information

NPI: 1730520131
Provider Name: EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

Other Name: ODESSA CMA

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
620 N GRANT AVE
SUITE 1012
ODESSA, TX
ZIP 79761
Phone: (502) 394-2100
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EDUCARE COMMUNITY LIVING CORPORATION - TEXAS is a community behavioral health in Odessa, TX. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. EDUCARE COMMUNITY LIVING CORPORATION - TEXAS NPI is 1730520131. The provider is registered as an organization entity type.
The provider Other Name Is Odessa Cma.

The provider's business location address is:

620 N GRANT AVE
SUITE 1012
ODESSA, TX
ZIP 79761-541
Phone: (502) 394-2100

The provider's authorized official is Timothy Whobrey .
The authorized official title is Provider Enrollment and has the following contact phone number (502) 630-7249.

The enumeration date for this NPI number is 7/13/2013 and was last updated on 2/2/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthTEXASYes

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: 5/5/2024

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