San Angelo Icf

LBN: Educare Community Living Corporation - Texas
San Angelo Icf is an health care organization with primary practice located at 701 E 19Th St , San Angelo TX 76903-3518. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Educare Community Living Corporation - Texas can be contacted via phone (325) 659-6682, or through Ombres, Deena G. via phone (502) 394-2100.

Contact Information

Primary practice address
701 E 19Th St San Angelo TX 76903-3518
Phone: (325) 659-6682
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ombres, Deena G.
Phone: (502) 394-2100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X Texas

Profile Details

NPI number 1902244510
LBN Legal business name Educare Community Living Corporation - Texas
DBA Doing business as San Angelo Icf
Authorized official Ombres, Deena G.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2013
Last updated Jun 10th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902244510 NPPES
Texas Other 003748 VENDOR NO.

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