OrganizationActive
Educare Community Living Corp - North Carolina
NPI 1174643712 · Intellectual Disabilities Intermediate Care Facility · Raleigh, NC
Provider details
- NPI number
- 1174643712
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Denisha Connor, Mgr Provider Enrollment(502) 630-7421
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
5117 Forest Creek Rd
Raleigh, NC 27606-9419
Phone: (919) 467-2857
Approximate (ZIP-level) locationGet directions
Mailing address
805 N Whittington Pkwy
Louisville, KY 40222-7101
Other names (DBA / former)
- Other name
- Ec Ral Forest Creek
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.