Golden Triangle Living Centers Inc in Beaumont - Intermediate Care Facility, Intellectual Disabilities
Golden Triangle Living Centers Inc - NPI 1407960321
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 1407960321. The last update date is 2020-08-22.
Golden Triangle Living Centers Inc's current location address is 9640 Meadowick Dr, Beaumont, Texas. You can contact this provider via phone number 4098667842 and fax number 4098328044. The mailing address for Golden Triangle Living Centers Inc is 9640 Meadowick Dr, 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 | 9640 Meadowick Dr, Beaumont, Texas |
Phone Number | 4098667842 |
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 | 1407960321 |
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Provider Enumeration Date | 2006-08-18 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 9640 Meadowick Dr |
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City | Beaumont |
State | Texas (TX) |
Post Code | 777063859 |
Phone Number | 4098667842 |
Fax Number | 4098328044 |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
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Taxonomy | 315P00000X |
Licence No | 117000 |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
45G930 | TX | -- |
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What is the unique 10-digit 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) 1407960321 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code 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: 9640 Meadowick Dr, Beaumont, TX 777063859.
What is the Golden Triangle Living Centers Inc's area of specialization and corresponding taxonomy classification?
The Golden Triangle Living Centers Inc's specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1407960321 to Golden Triangle Living Centers Inc?
The Centers for Medicare & Medicaid Services assigned the 1407960321 to Golden Triangle Living Centers Inc on 2006-08-18.
As of what date were the details pertaining to Golden Triangle Living Centers Inc last refreshed?
The information related to the Golden Triangle Living Centers Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY