Organization · NPI-2

Educare Community Living Corporation - North Carolina

Intermediate Care Facility, Intellectual Disabilities · Charlotte, NC

NPI number1770827552
StatusActive
Last updated in NPPESOct 2, 2026

Details

NPI
1770827552
Entity type
Organization (NPI-2)
Legal business name
Educare Community Living Corporation - North Carolina
Organization subpart
No
Enumeration date
Nov 19, 2012
Certification date
Oct 2, 2026
Last updated
Oct 2, 2026

Taxonomy and licenses

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

Practice location

8205 Browne Rd.
Charlotte, NC 28217

Phone 704-519-0077

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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