Organization · NPI-2

Educare Community Living Corporation - North Carolina

Intermediate Care Facility, Intellectual Disabilities · Charlotte, NC

NPI number1285754424
StatusActive
Last updated in NPPESOct 2, 2026

Details

NPI
1285754424
Entity type
Organization (NPI-2)
Legal business name
Educare Community Living Corporation - North Carolina
Organization subpart
No
Enumeration date
Mar 30, 2007
Certification date
Oct 2, 2026
Last updated
Oct 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities––Yes

Other names

  • Ec Char Leaves (Other Name)

Practice location

7106 Leaves Ln
Charlotte, NC 28213-5748

Phone 704-598-9932

Mailing address

6600 France Ave S Ste 350
Edina, MN 55435-1810

Phone 800-388-5150

Authorized official

Mary Patricia Rodenberg-Roberts
Chief Regulatory Officer Sr Asst Gc
9528362234

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