MEDICARE: EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

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	:	1932439544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

Provider Business Mailing Address
First Line	:	805 N WHITTINGTON PKWY
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-7101
Country	:	US
Telephone Number	:	502-394-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1824 S FIELDER RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-3738
Country	:	US
Telephone Number	:	800-866-0860
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER ENROLLMENT
Name	:	MR. TIMOTHY WHOBREY
Credential	:
Telephone Number	:	502-630-7249

Provider Enumeration Date	:	01/04/2010
Last Update Date	:	02/08/2021

Similar Medicare Providers

1043690886 — DANIEL UCHE OKOLO
Practice Location Address:

1403 KILKENNY DR
ARLINGTON, TX
76002-3738

Practice Phone: 214-686-5383
Practice Fax:

1073031381 — VIRGINIA JREISAT MA
Practice Location Address:

1803 N MITCHELL AVE
ARLINGTON HEIGHTS, IL
60004-3738

Practice Phone: 224-595-8280
Practice Fax:

1912877762 — JANUS CODE SERVICES LLC
Practice Location Address:

1803 N MITCHELL AVE
ARLINGTON HEIGHTS, IL
60004-3738

Practice Phone: 224-595-8280
Practice Fax:

1245229830 — BENJAMIN G KORMAN LCSW
Practice Location Address:

1151 W PIONEER PKWY , SUITE 100
ARLINGTON, TX
76013-7600

Practice Phone: 817-548-9500
Practice Fax: 817-548-1155

1831044031 — KYLE PEARSON
Practice Location Address:

1114 W PIONEER PKWY
ARLINGTON, TX
76013-6367

Practice Phone: 682-703-1311
Practice Fax:

1437153780 — DR. JOHN T GOODMAN DDS
Practice Location Address:

1022 W MITCHELL ST
ARLINGTON, TX
76013-2543

Practice Phone: 817-265-1051
Practice Fax: 817-275-8651

Directions to “EDUCARE COMMUNITY LIVING CORPORATION - TEXAS ” 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.