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EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA NPI 1669592887


NPI Information

NPI: 1669592887
Provider Name: EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA

Other Name: EC RAL ROCKWOOD

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
4409 ROCKWOOD DR
RALEIGH, NC
ZIP 27612
Phone: (919) 571-0230
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EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA is an intermediate care facility mentally retarded in Raleigh, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA NPI is 1669592887. The provider is registered as an organization entity type.
The provider Other Name Is Ec Ral Rockwood.

The provider's business location address is:

4409 ROCKWOOD DR
RALEIGH, NC
ZIP 27612-542
Phone: (919) 571-0230

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 3/30/2007 and was last updated on 7/16/2008.


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, Intellectual DisabilitiesYes

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
1340606UMEDICAIDNORTH 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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