Kingsville Group Home

LBN: Educare Community Living Corporation - Texas
Kingsville Group Home is an health care organization with primary practice located at 901 S Mo Pac Expy Bldg Ii Suite 450, Austin TX 78746-5776. 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 (512) 498-2705, or through Whobrey, Timothy via phone (502) 630-7249.

Contact Information

Primary practice address
901 S Mo Pac Expy Bldg Ii Suite 450 Austin TX 78746-5776
Phone: (512) 498-2705
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whobrey, Timothy
Phone: (502) 630-7249

Health care specialties

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

Profile Details

NPI number 1366636508
LBN Legal business name Educare Community Living Corporation - Texas
DBA Doing business as Kingsville Group Home
Authorized official Whobrey, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2007
Last updated Feb 3rd, 2021 - about 5 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 1366636508 NPPES
Texas MEDICAID 001015166

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