Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Educare Community Living Corp North Carolina

Organization Community/Behavioral Health Agency · NPI 1639313943

Educare Community Living Corp North Carolina is a Community/Behavioral Health Agency in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2901 Konnoak Dr
Winston Salem, NC 27127-3945
Phone: (800) 866-0860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X
Community/Behavioral Health Agency Taxonomy 251S00000X (NC)

Record details

NPI number1639313943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angie Mattingly — Mgr Provider Enrollment · (502) 630-7425
Other names Konnoak Drive Group Home
NPI enumeratedApril 30, 2009
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022
Mailing address805 N Whittington Pkwy, Louisville, KY 40222-7101

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