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Educare Community Living Limited Partnership

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Ft Worth, TX

NPI 1104946136 · NPPES record last updated May 30, 2026

Key facts

NPI
1104946136
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP
Practice address
6717 Kingswood Dr
Ft Worth, TX 76133-5317
Phone
(817) 293-7575
NPI assigned
Mar 31, 2007
Organization subpart
No

Authorized official

Name
Mary Patricia Rodenberg-Roberts
Title
Chief Regulatory Officer Sr Asst GC
Phone
(952) 836-2234

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Educare Community Living Limited Partnership (106 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Yes

Addresses

Primary practice location

6717 Kingswood Dr
Ft Worth, TX 76133-5317

Mailing address

6600 France Ave S Ste 350
Edina, MN 55435-1810
Phone (800) 388-5150

Other identifiers

IdentifierTypeStateIssuer
001000261MedicaidTX

Other names

  • MTX KINGSWOOD Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 30, 2026.

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780099200000",
    "number": "1104946136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 350",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351810",
            "telephone_number": "800-388-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 KINGSWOOD DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761335317",
            "telephone_number": "817-293-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A",
        "authorized_official_last_name": "RODENBERG-ROBERTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CHIEF REGULATORY OFFICER SR ASST GC",
        "authorized_official_telephone_number": "952-836-2234"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001000261",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MTX KINGSWOOD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ft Worth, TX

All providers in Ft Worth, TX · Intellectual Disabilities Intermediate Care Facility in Texas

Sources for this page

Verify at the official NPI Registry.