EC GBO KONNOAK
NPI 1215057468
Intermediate Care Facility, Intellectual Disabilities in Winston Salem, NC

Q: What is Educare Community Living Corporation - North Carolina's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since March 30, 2007

2901 KONNOAK DR, WINSTON SALEM, NC 27127(336) 788-5543 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ec Gbo Konnoak NPPES

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

EC GBO KONNOAK (NPI 1215057468) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Winston Salem, North Carolina and active in the NPI registry since March 2007. The organization lists Deena Ombres, Privacy Officer, as its authorized official.

NPPES Registry Identity

NPI1215057468

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameEDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA

Location Address2901 KONNOAK DRWinston Salem, NC 27127-3945

Mailing Address9901 Linn Station RdLouisville, KY 40223-3808 · (800) 866-0860

Phone(336) 788-5543

Organization SubpartNo

Authorized OfficialDeena OmbresPrivacy Officer · (502) 394-2387

Enumeration DateMarch 30, 2007

Last NPPES UpdateJuly 28, 2008

✔ NPI 1215057468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

2901 KONNOAK DR, Winston Salem, NC 27127

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Other Names 1

Other NameEc Gbo Konnoak

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 CORP NORTH CAROLINA

Intermediate Care Facility, Intellectual Disabilities

2901 KONNOAK DR
WINSTON SALEM, NC 27127

Forsyth County (800) 866-0860

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 - North Carolina's NPI number?

The NPI number for Educare Community Living Corporation - North Carolina is 1215057468. It was assigned to this organization in the NPPES registry on March 30, 2007. The provider is also known as Ec Gbo Konnoak.

Where is Educare Community Living Corporation - North Carolina located?

Educare Community Living Corporation - North Carolina is located at 2901 Konnoak Dr, Winston Salem, NC 27127. The listed phone number is (336) 788-5543.

What is Educare Community Living Corporation - North Carolina's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Educare Community Living Corporation - North Carolina was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.