Golden Triangle Living Centers Inc in Port Arthur - Intermediate Care Facility, Intellectual Disabilities
Golden Triangle Living Centers Inc - NPI 1164536082
Golden Triangle Living Centers Inc is a Intermediate Care Facility, Intellectual Disabilities in Port Arthur, Texas. Golden Triangle Living Centers Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Golden Triangle Living Centers Inc is 1164536082. The last update date is 2020-08-22.
Golden Triangle Living Centers Inc's current location address is 411 5th Avenue, Port Arthur, Texas. You can contact this provider via phone number 4099854774 and fax number 4098328044. The mailing address for Golden Triangle Living Centers Inc is 411 5th Avenue, Port Arthur, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Golden Triangle Living Centers Inc |
|---|---|
| Address | 411 5th Avenue, Port Arthur, Texas |
| Phone Number | 4099854774 |
| Fax Number | 4098328044 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Harrell B Jerrine |
| Telephone Number | 3184456470 |
NPI Number Detail
| NPI Number | 1164536082 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 411 5th Avenue |
|---|---|
| City | Port Arthur |
| State | Texas (TX) |
| Post Code | 77642 |
| Phone Number | 4099854774 |
| Fax Number | 4098328044 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 116213 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45H125 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Golden Triangle Living Centers Inc by the Centers for Medicare & Medicaid Services?
The Golden Triangle Living Centers Inc has been issued the NPI (National Provider Identifier) 1164536082, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Golden Triangle Living Centers Inc's facilities are situated?
The facilities of Golden Triangle Living Centers Inc are physically located at the following address: 411 5Th Avenue, Port Arthur, TX, 77642.
What is the area of specialization for Golden Triangle Living Centers Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Golden Triangle Living Centers Inc is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
When did Golden Triangle Living Centers Inc receive its 1164536082 assignment?
The Golden Triangle Living Centers Inc was assigned its 1164536082 on 2006-08-18, which is the date when this unique identifier was issued to the organization.
When was the information regarding Golden Triangle Living Centers Inc most recently updated?
The details pertaining to the Golden Triangle Living Centers Inc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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