Golden Triangle Living Centers Inc in Beaumont - Intermediate Care Facility, Intellectual Disabilities
Golden Triangle Living Centers Inc - NPI 1427162346
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 1427162346. The last update date is 2020-08-22.
Golden Triangle Living Centers Inc's current location address is 5010 Ada, Beaumont, Texas. You can contact this provider via phone number 4098992834 and fax number 4098328044. The mailing address for Golden Triangle Living Centers Inc is 5010 Ada, 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 | 5010 Ada, Beaumont, Texas |
Phone Number | 4098992834 |
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 | 1427162346 |
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Provider Enumeration Date | 2006-08-18 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 5010 Ada |
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City | Beaumont |
State | Texas (TX) |
Post Code | 77706 |
Phone Number | 4098992834 |
Fax Number | 4098328044 |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
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Taxonomy | 315P00000X |
Licence No | 111125 |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
45G990 | 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) 1427162346 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Golden Triangle Living Centers Inc?
The Golden Triangle Living Centers Inc is situated at 5010 Ada, in the city of Beaumont, state of TX, with the zip code 77706.
What is Golden Triangle Living Centers Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Golden Triangle Living Centers Inc's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1427162346 to Golden Triangle Living Centers Inc?
The Golden Triangle Living Centers Inc received its 1427162346 assignment from the Centers for Medicare & Medicaid Services 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.