Golden Triangle Living Centers Inc in Port Arthur - Intermediate Care Facility, Intellectual Disabilities
Golden Triangle Living Centers Inc - NPI 1073627998
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 1073627998. The last update date is 2020-08-22.
Golden Triangle Living Centers Inc's current location address is 2810 Sheridan, Port Arthur, Texas. You can contact this provider via phone number 4099833512 and fax number 4098328044. The mailing address for Golden Triangle Living Centers Inc is 2810 Sheridan, Port Arthur, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Golden Triangle Living Centers Inc |
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Address | 2810 Sheridan, Port Arthur, Texas |
Phone Number | 4099833512 |
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 | 1073627998 |
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Provider Enumeration Date | 2006-08-18 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2810 Sheridan |
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City | Port Arthur |
State | Texas (TX) |
Post Code | 77642 |
Phone Number | 4099833512 |
Fax Number | 4098328044 |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
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Taxonomy | 315P00000X |
Licence No | 117450 |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
45H072 | TX | -- |
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What is the unique 10-digit identifier 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) 1073627998 by the CMS (Centers for Medicare & Medicaid Services), which serves as 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: 2810 Sheridan, Port Arthur, TX 77642.
What is Golden Triangle 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 Triangle 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 Golden Triangle Living Centers Inc receive its 1073627998 assignment from the Centers for Medicare & Medicaid Services?
The Golden Triangle Living Centers Inc was assigned its 1073627998 by the Centers for Medicare & Medicaid Services on 2006-08-18.
As of what date were the Golden Triangle Living Centers Inc's details last updated?
The information pertaining to the Golden Triangle Living Centers Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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