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NPI Code Detail

MEDICARE: EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP

MEDICARE: EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1315P00000XIntellectual Disabilities Intermediate Care Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922128883
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP
Provider Business Mailing Address
First Line : 6600 FRANCE AVE S STE 350
Second Line :
City : EDINA
State : MN
Zip : 55435-1810
Country : US
Telephone Number : 800-388-5150
Fax Number :
Provider Business Practice Location Address
First Line : 3824 WALNUT DR
Second Line :
City : BEDFORD
State : TX
Zip : 76021-5130
Country : US
Telephone Number : 972-517-3762
Fax Number :
Authorized Official
Title or Position : CHIEF REGULATORY OFFICER
Name : MARY PATRICIA RODENBERG-ROBERTS
Credential :
Telephone Number : 952-836-2234
Provider Enumeration Date : 04/01/2007
Last Update Date : 05/30/2026

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Directions to “EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.