Golden Traingle Living Centers Inc in Beaumont - Intermediate Care Facility, Intellectual Disabilities
Golden Traingle Living Centers Inc - NPI 1134233059
Golden Traingle Living Centers Inc is a Intermediate Care Facility, Intellectual Disabilities in Beaumont, Texas. Golden Traingle Living Centers Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Golden Traingle Living Centers Inc is 1134233059. The last update date is 2020-08-22.
Golden Traingle Living Centers Inc's current location address is 4415 Jerry, Beaumont, Texas. You can contact this provider via phone number 4098994766 and fax number 4098328044. The mailing address for Golden Traingle Living Centers Inc is 4415 Jerry, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Golden Traingle Living Centers Inc |
|---|---|
| Address | 4415 Jerry, Beaumont, Texas |
| Phone Number | 4098994766 |
| 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 | 1134233059 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4415 Jerry |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 77703 |
| Phone Number | 4098994766 |
| Fax Number | 4098328044 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 115928 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45G846 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Golden Traingle Living Centers Inc by the Centers for Medicare & Medicaid Services?
The Golden Traingle Living Centers Inc has been issued the NPI (National Provider Identifier) 1134233059. This 10-digit code 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 Traingle Living Centers Inc's facilities are situated?
The facilities of Golden Traingle Living Centers Inc are physically located at the following address: 4415 Jerry, Beaumont, TX, 77703.
What is Golden Traingle Living Centers Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Golden Traingle Living Centers Inc is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134233059 to Golden Traingle Living Centers Inc?
The Golden Traingle Living Centers Inc received its 1134233059 assignment from the Centers for Medicare & Medicaid Services on 2006-08-18.
As of what date was the information regarding Golden Traingle Living Centers Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Golden Traingle Living Centers Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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