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EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA NPI 1407289739


NPI Information

NPI: 1407289739
Provider Name: EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA

Doing Business As: COMMUNITY ALTERNATIVES NORTH CAROLINA

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2271372

Address:
225 BUCK JONES RD
RALEIGH, NC
ZIP 27606
Phone: (919) 851-4597
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EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA is a community behavioral health in Raleigh, NC. 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 - NORTH CAROLINA NPI is 1407289739. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Alternatives North Carolina.

The provider's business location address is:

225 BUCK JONES RD
RALEIGH, NC
ZIP 27606-220
Phone: (919) 851-4597

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 CLIA number assigned to this NPI record is 34D2271372 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2013 and was last updated on 8/9/2013.


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
1251S00000XCommunity/Behavioral HealthMHL-092-269NORTH CAROLINAYes

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
13408589MEDICAIDNORTH CAROLINA

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: 4/28/2024

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