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
1	315P00000X	Intellectual Disabilities Intermediate Care Facility

Other Identifiers

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

General Provider Information

NPI Number	:	1104946136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	9901 LINN STATION RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-3808
Country	:	US
Telephone Number	:	800-866-0860
Fax Number	:

Provider Business Practice Location Address
First Line	:	6717 KINGSWOOD DR
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76133-5317
Country	:	US
Telephone Number	:	817-293-7575
Fax Number	:

Authorized Official
Title or Position	:	PRIVACY OFFICER
Name	:	DEENA OMBRES
Credential	:
Telephone Number	:	502-394-2387

Provider Enumeration Date	:	03/31/2007
Last Update Date	:	07/15/2008

Similar Medicare Providers

1114255106 — SOUTHWEST INTERNAL MEDICINE PA
Practice Location Address:

5317 QUAIL FEATHER DR
FORT WORTH, TX
76123-2956

Practice Phone: 817-800-3196
Practice Fax:

1982935219 — BEST HEALTH SERVICES, INC.
Practice Location Address:

5317 LAKE WORTH RD
GREENACRES, FL
33463-3353

Practice Phone: 561-968-1055
Practice Fax: 561-968-6166

1679980031 — ANDREW DUTTON LPC, LCDC
Practice Location Address:

4316 BILGLADE RD
FORT WORTH, TX
76109-5317

Practice Phone: 217-417-1059
Practice Fax:

1801305768 — I-CARE AT HOMES, LLC
Practice Location Address:

5317 BELLIS DR
FORT WORTH, TX
76244-4552

Practice Phone: 817-675-4954
Practice Fax:

1265055107 — PRIYANK PATEL
Practice Location Address:

5317 SUMMER MEADOWS DR
FORT WORTH, TX
76123-1975

Practice Phone: 682-429-5259
Practice Fax:

1902407547 — BETTER DAYS COUNSELING, PLLC
Practice Location Address:

4316 BILGLADE RD
FORT WORTH, TX
76109-5317

Practice Phone: 217-417-1059
Practice Fax:

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.