EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST – NPI #1659582864
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST is an assisted living facility located in AUSTIN, TX. NPPES has assigned the NPI number 1659582864 to EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST on May 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3104A0630X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances

The NPI profile was last updated on Jun 19, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST below.

NPI Profile for
EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST

NPI Number
1659582864
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST
Primary location
901 S MO PAC EXPY
BLDG II SUITE 450
AUSTIN, TX 78746-5776
Phone: (512) 469-8270 Fax:
Mailing address
805 N WHITTINGTON PKWY
LOUISVILLE, KY 40222-7101
Phone: (502) 394-2100 Fax:
Organization Subpart
No
Authorized Official
ANGIE MATTINGLY
DIRECTOR
Phone: (502) 630-7138
Updated
Certification Date
Jun 19, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTX1008112
medicaidTX1010177
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.