Educare Community Living Limited Partnership
Intermediate Care Facility, Intellectual Disabilities in Ft Worth, TX. Organization (NPI-2).
Details
- NPI
- 1104946136
- Entity type
- Organization (NPI-2)
- Legal business name
- Educare Community Living Limited Partnership
- Organization subpart
- No
- Enumeration date
- Mar 31, 2007
- Certification date
- May 30, 2026
- Last updated
- May 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Other names
- Mtx Kingswood (Other Name)
Practice location
6717 Kingswood DrFt Worth, TX 76133-5317
Phone 817-293-7575
Mailing address
6600 France Ave S Ste 350Edina, MN 55435-1810
Phone 800-388-5150
Authorized official
Mary Patricia Rodenberg-Roberts
Chief Regulatory Officer Sr Asst Gc
9528362234
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 17 Intellectual Disabilities Intermediate Care Facility providers in Ft Worth · All 954 providers in Ft Worth
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