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EDUCARE COMMUNITY LIVING CORPORATION - TEXAS
NPI 1114049954
Intermediate Care Facility, Intellectual Disabilities in San Antonio, TX

Active since April 04, 2007
1906 ENCINO VALLEY ST, SAN ANTONIO, TX 78259(210) 497-8162 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2026, Feb 2, 2021 (2 updates tracked since 2021).

  • Organization
  • Intermediate Care Facility, Intellectual...

About EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

This page provides the complete NPI Profile along with additional information for Educare Community Living Corporation - Texas, a provider established in San Antonio, Texas operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1114049954 assigned on April 2007. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated July 2026. The provider's . The authorized official of this NPI record is Mary Patricia Rodenberg-roberts (Chief Regulatory Officer Sr Asst Gc)

NPI
1114049954 Verify this NPI
Provider Legal Name
EDUCARE COMMUNITY LIVING CORPORATION - TEXAS
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1906 ENCINO VALLEY ST SAN ANTONIO, TX 78259
Location Phone
(210) 497-8162
Mailing Address
6600 FRANCE AVE S STE 350 EDINA, MN 55435
Mailing Phone
(800) 388-5150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2007
Last Update Date
07-16-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY PATRICIA RODENBERG-ROBERTS

Authorized Official Title
CHIEF REGULATORY OFFICER SR ASST GC
Authorized Official Phone
(952) 836-2234

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000366201MEDICAID (05)TX 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114049954, enumerated as an "organization" on April 04, 2007.

The provider is located at 1906 ENCINO VALLEY ST SAN ANTONIO, TX 78259 and the phone number is (210) 497-8162.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.