OrganizationActive
Educare Community Living Corp
NPI 1063473460 · Mental Illness Intermediate Care Facility · Las Vegas, NV
Provider details
- NPI number
- 1063473460
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vp & Sr Asst General Counsel(952) 836-2234
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3811 W Charleston Blvd
210
Las Vegas, NV 89102-1846
Phone: (702) 880-0961
Fax: (702) 880-0965
Street-level locationGet directions
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Registry dates
- Enumerated
- 2006-03-28
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.