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EDUCARE COMMUNITY LIVING CORPORATION NORTH CAROLINA NPI 1629212949


NPI Information

NPI: 1629212949
Provider Name: EDUCARE COMMUNITY LIVING CORPORATION NORTH CAROLINA
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
212 HILLSTONE PL
SUITE B
JAMESTOWN, NC
ZIP 27282
Phone: (800) 866-0860
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EDUCARE COMMUNITY LIVING CORPORATION NORTH CAROLINA is a community behavioral health in Jamestown, 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 1629212949. The provider is registered as an organization entity type.

The provider's business location address is:

212 HILLSTONE PL
SUITE B
JAMESTOWN, NC
ZIP 27282-000
Phone: (800) 866-0860

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 4/30/2009 and was last updated on 4/30/2009.


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 HealthNORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18300893BMEDICAIDNORTH 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: 5/5/2024

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