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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EDUCARE COMMUNITY LIVING CORPORATION TEXAS
NPI 1104689603
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ft Worth, TX

Active since February 06, 2024
1200 EVERMAN PKWY, FT WORTH, TX 76140(817) 293-2975 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 15, 2026, Feb 6, 2024 (2 updates tracked since 2024).

About Educare Community Living Corporation Texas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDUCARE COMMUNITY LIVING CORPORATION TEXAS (NPI 1104689603) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Ft Worth, Texas and active in the NPI registry since February 2024. The organization lists Mary Patricia Rodenberg-roberts, Chief Regulatory Officer Sr Asst Gc, as its authorized official.

NPPES Registry Identity

NPI1104689603
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameEDUCARE COMMUNITY LIVING CORPORATION TEXAS
Location Address1200 EVERMAN PKWYFt Worth, TX 76140-5002
Mailing Address6600 France Ave S Ste 350Edina, MN 55435-1810 · (800) 388-5150
Phone(817) 293-2975
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsChief Regulatory Officer Sr Asst Gc · (952) 836-2234
Enumeration DateFebruary 6, 2024
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1104689603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1200 EVERMAN PKWY, Ft Worth, TX 76140
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDUCARE COMMUNITY LIVING CORPORATION - TEXAS
Community/Behavioral Health
1200 EVERMAN PKWY
FT WORTH, TX 76140
Tarrant County (502) 394-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Educare Community Living Corporation Texas's NPI number?

The NPI number for Educare Community Living Corporation Texas is 1104689603. It was assigned to this organization in the NPPES registry on February 6, 2024.

Where is Educare Community Living Corporation Texas located?

Educare Community Living Corporation Texas is located at 1200 Everman Pkwy, Ft Worth, TX 76140. The listed phone number is (817) 293-2975.

What is Educare Community Living Corporation Texas's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Educare Community Living Corporation Texas was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.