Golden Triangle Living Centers Inc in Beaumont - Intermediate Care Facility, Intellectual Disabilities
Golden Triangle Living Centers Inc - NPI 1316051238
Golden Triangle Living Centers Inc is a Intermediate Care Facility, Intellectual Disabilities in Beaumont, 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 1316051238. The last update date is 2020-08-22.
Golden Triangle Living Centers Inc's current location address is 10980 Pinehaven, Beaumont, Texas. You can contact this provider via phone number 4098999522 and fax number 4098328044. The mailing address for Golden Triangle Living Centers Inc is 10980 Pinehaven, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Golden Triangle Living Centers Inc |
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Address | 10980 Pinehaven, Beaumont, Texas |
Phone Number | 4098999522 |
Fax Number | 4098328044 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Harrell B Jerrine |
Telephone Number | 3184456470 |
NPI Number Detail
NPI Number | 1316051238 |
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Provider Enumeration Date | 2006-08-18 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 10980 Pinehaven |
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City | Beaumont |
State | Texas (TX) |
Post Code | 77713 |
Phone Number | 4098999522 |
Fax Number | 4098328044 |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
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Taxonomy | 315P00000X |
Licence No | 116516 |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
45G413 | TX | -- |
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What is the unique identifier code issued to Golden Triangle Living Centers Inc by the Centers for Medicare & Medicaid Services?
The Golden Triangle Living Centers Inc has been assigned the NPI (National Provider Identifier) 1316051238. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Golden Triangle Living Centers Inc?
The Golden Triangle Living Centers Inc is physically situated at 10980 Pinehaven, in the city of Beaumont, state of TX, with the postal code 77713.
What is Golden Triangle Living Centers Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Golden Triangle Living Centers Inc's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316051238 to Golden Triangle Living Centers Inc?
The Centers for Medicare & Medicaid Services assigned the 1316051238 to Golden Triangle Living Centers Inc on 2006-08-18.
As of what date were the details related to Golden Triangle Living Centers Inc most recently updated or revised?
The information pertaining to Golden Triangle Living Centers Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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