Organization Active NPI

Educare Collaborative LLC

  • Local Education Agency (LEA)
  • McDonough, GA
National Provider Identifier
1194437483
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
EDUCARE COLLABORATIVE LLC
Practice address
152 Southgate Blvd
McDonough, GA 30253-8035
Phone
(678) 988-6835
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Irwin-CopelandNPI 1073255857
Title
Nurse
Phone
(678) 988-6835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary
Health Maintenance Organization 302R00000X

Addresses

Primary practice location

152 Southgate Blvd
McDonough, GA 30253-8035

Mailing address

152 Southgate Blvd
McDonough, GA 30253-8035

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1194437483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SOUTHGATE BLVD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SOUTHGATE BLVD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538035",
            "telephone_number": "678-988-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCARE COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-17",
        "status": "A",
        "authorized_official_last_name": "IRWIN-COPELAND",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "678-988-6835"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.