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EDUCARE COMMUNITY LIVING CORP NPI 1063473460


NPI Information

NPI: 1063473460
Provider Name: EDUCARE COMMUNITY LIVING CORP
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
3811 W CHARLESTON BLVD
210
LAS VEGAS, NV
ZIP 89102
Phone: (702) 880-0961
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EDUCARE COMMUNITY LIVING CORP is an intermediate care facility mental illness in Las Vegas, NV. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. EDUCARE COMMUNITY LIVING CORP NPI is 1063473460. The provider is registered as an organization entity type.

The provider's business location address is:

3811 W CHARLESTON BLVD
210
LAS VEGAS, NV
ZIP 89102-846
Phone: (702) 880-0961
Fax: (702) 880-0965

The provider's authorized official is Dave Rhodes .
The authorized official title is Regional V.p. and has the following contact phone number (303) 702-0056.

The enumeration date for this NPI number is 3/28/2006 and was last updated on 8/22/2020.


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
1310500000XIntermediate Care Facility, Mental IllnessNEVADAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.