Educare Community Living Corp North Carolina
NPI 1639313943 · Intellectual Disabilities Intermediate Care Facility · Winston Salem, NC
Educare Community Living Corp North Carolina is a Intellectual Disabilities Intermediate Care Facility organization in Winston Salem, NC (NPI 1639313943).
Provider details
- NPI number
- 1639313943
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Angie Mattingly, Mgr Provider Enrollment(502) 630-7425
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Other names (DBA / former)
- Doing business as
- Konnoak Drive Group Home
Registry dates
- Enumerated
- 2009-04-30
- Last updated
- 2022-02-21
- Certified
- 2022-02-21
Frequently asked questions
- What is Educare Community Living Corp North Carolina's NPI number?
- Educare Community Living Corp North Carolina's National Provider Identifier (NPI) is 1639313943, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Educare Community Living Corp North Carolina?
- Educare Community Living Corp North Carolina is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Educare Community Living Corp North Carolina located?
- Educare Community Living Corp North Carolina's practice location on file with NPPES is 2901 Konnoak Dr, Winston Salem, NC 27127-3945.
- What is Educare Community Living Corp North Carolina's phone number?
- The practice phone number listed in the NPPES registry for Educare Community Living Corp North Carolina is (800) 866-0860.
- Who is the authorized official for Educare Community Living Corp North Carolina?
- The authorized official listed on Educare Community Living Corp North Carolina's NPPES record is Angie Mattingly, Mgr Provider Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Educare Community Living Corp North Carolina's NPI active?
- Yes — Educare Community Living Corp North Carolina's NPI (1639313943) is active in the NPPES registry as of the last update on 2022-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.