EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA NPI 1053431601

NPI Information

NPI: 1053431601
Provider Name: EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA

Other Name: EC RAL GEORGIA

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
107 MISS GEORGIA CT
CARY, NC
ZIP 27511
Phone: (919) 467-8857
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EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA is an intermediate care facility mentally retarded in Cary, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA NPI is 1053431601. The provider is registered as an organization entity type.
The provider Other Name Is Ec Ral Georgia.

The provider's business location address is:

107 MISS GEORGIA CT
CARY, NC
ZIP 27511-170
Phone: (919) 467-8857

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 3/29/2007 and was last updated on 7/14/2008.

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 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	3406380	MEDICAID	NORTH 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

NPI Synchronization or Removal

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