Educare Community Living Corporation - North Carolina
Organization Active NPI Community/Behavioral Health Agency · Zebulon, NC
NPI 1265864102 · NPPES record last updated Aug 2, 2013
Key facts
- NPI
- 1265864102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- MHL-092-292 (NC)
- Legal business name
- EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA
- Practice address
- 428 Tippett Rd
Zebulon, NC 27597-7897 - Phone
- (919) 269-0404
- NPI assigned
- Aug 2, 2013
- Organization subpart
- No
Authorized official
- Name
- Ms. Deena G. Ombres
- Title
- Assoc. Gen. Counsel/Privacy Officer
- Phone
- (502) 394-2100
Corporate family (same tax ID) 38
National Provider Directory
- Tax ID family
- Community Alternatives North Carolina
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL-092-292 | NC | Yes |
Addresses
Primary practice location
428 Tippett Rd
Zebulon, NC 27597-7897
Mailing address
9901 Linn Station Rd
Louisville, KY 40223-3808
Phone (502) 394-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408589 | Medicaid | NC |
Other names
- Community Alternatives North Carolina
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- Andrew Michael Errett
- Essential Home Care
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All providers in Zebulon, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.