Healthcare Provider Details

I. General information

NPI: 1831742451
Provider Name (Legal Business Name): EDUCARE COMMUNTIY SUPPORT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7517 NEW HAMPSHIRE AVE
TAKOMA PARK MD
20912-6969
US

IV. Provider business mailing address

7517 NEW HAMPSHIRE AVE
TAKOMA PARK MD
20912-6969
US

V. Phone/Fax

Practice location:
  • Phone: 240-450-2092
  • Fax:
Mailing address:
  • Phone: 240-450-2992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. DUNRICK PATRICK SOGIE-THOMAS
Title or Position: EXECUTIVE DIRECTOR
Credential: MA
Phone: 301-850-8999