Golden Triangle Living Centers Inc in Port Arthur - Intermediate Care Facility, Intellectual Disabilities
Golden Triangle Living Centers Inc - NPI 1780798603
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 1780798603. The last update date is 2020-08-22.
Golden Triangle Living Centers Inc's current location address is 3905 28th St, Port Arthur, Texas. You can contact this provider via phone number 4099837756 and fax number 4098328044. The mailing address for Golden Triangle Living Centers Inc is 3905 28th St, Port Arthur, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Golden Triangle Living Centers Inc |
|---|---|
| Address | 3905 28th St, Port Arthur, Texas |
| Phone Number | 4099837756 |
| 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 | 1780798603 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3905 28th St |
|---|---|
| City | Port Arthur |
| State | Texas (TX) |
| Post Code | 77642 |
| Phone Number | 4099837756 |
| Fax Number | 4098328044 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 115771 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45H111 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Golden Triangle Living Centers Inc?
The Golden Triangle Living Centers Inc has been issued the NPI (National Provider Identifier) 1780798603 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Golden Triangle Living Centers Inc is physically located?
The Golden Triangle Living Centers Inc is situated at the following address: 3905 28Th St, Port Arthur, TX 77642.
What is Golden Triangle Living Centers Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Golden Triangle Living Centers Inc is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
On what date did the Golden Triangle Living Centers Inc receive its 1780798603 assignment from the Centers for Medicare & Medicaid Services?
The Golden Triangle Living Centers Inc was assigned its 1780798603 by the Centers for Medicare & Medicaid Services on 2006-08-18.
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.