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EDUCARE COMMUNITY LIVING CORPORATION - TEXAS NPI 1760505556


NPI Information

NPI: 1760505556
Provider Name: EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

Other Name: EC HOUS COPPERFIELD

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
15311 FOREST TRAILS DR
HOUSTON, TX
ZIP 77095
Phone: (281) 855-0857
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EDUCARE COMMUNITY LIVING CORPORATION - TEXAS 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 - TEXAS NPI is 1760505556. The provider is registered as an organization entity type.
The provider Other Name Is Ec Hous Copperfield.

The provider's business location address is:

15311 FOREST TRAILS DR
HOUSTON, TX
ZIP 77095-820
Phone: (281) 855-0857

The provider's authorized official is Deena Ombres .
The authorized official title is Privacy Officer and has the following contact phone number (502) 394-2387.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 7/17/2008.


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 RetardedYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000393001MEDICAIDTEXAS

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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