EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP NPI 1427178458

NPI Information

NPI: 1427178458
Provider Name: EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP

Other Name: WTX JUNEAU

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

Address:
2502 JUNEAU AVE
LUBBOCK, TX
ZIP 79407
Phone: (806) 793-9694
Get Directions

EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP is an intermediate care facility mentally retarded in Lubbock, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP NPI is 1427178458. The provider is registered as an organization entity type.
The provider Other Name Is Wtx Juneau.

The provider's business location address is:

2502 JUNEAU AVE
LUBBOCK, TX
ZIP 79407-526
Phone: (806) 793-9694

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 CLIA number assigned to this NPI record is 45D2270933 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2007 and was last updated on 2/29/2024.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

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
1	001000275	MEDICAID	TEXAS

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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