GOLDEN TRIANGLE LIVING CENTERS INC (NPI# 1043324965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043324965 |
| Entity Type | Organization |
| Organization Name | GOLDEN TRIANGLE LIVING CENTERS INC |
| Other Organization Name | HUNTSMAN LIVING CENTER |
| Practice Address |
535 Carnahan Pl Beaumont TX 77707 |
| Mailing Address |
2750 South 4th Street Beaumont TX 77701-7912 |
| Practice Telephone | 4098662588 |
| Practice Fax Number | 4098328044 |
| Mailing Telephone | 4098324112 |
| Mailing Fax Number | 4098328044 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JERRINE B HARRELL (PRESIDENT) |
| Authorized Official Telephone | 3184456470 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 117109 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 45G411 | 05 |
| Other Name | Type Code |
|---|---|
| Huntsman Living Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427162346 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 5010 Ada, Beaumont, TX 77706 | 2006-08-18 |
| 1518071430 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 8255 Shiloh, Beaumont, TX 77706 | 2006-08-18 |
| 1780798603 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 3905 28th St, Port Arthur, TX 77642 | 2006-08-18 |
| 1255445177 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 1760 Sams Way, Beaumont, TX 77706 | 2006-08-18 |
| 1073627998 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 2810 Sheridan, Port Arthur, TX 77642 | 2006-08-18 |
| 1790899615 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 3895 Cheryl St, Beaumont, TX 77706 | 2006-08-18 |
| 1164536082 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 411 5th Avenue, Port Arthur, TX 77642 | 2006-08-18 |
| 1316051238 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 10980 Pinehaven, Beaumont, TX 77713 | 2006-08-18 |
| 1982718805 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 11510 Loop Road, Beaumont, TX 77713 | 2006-08-18 |
| 1609980523 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 5125 Mcanelly Dr, Beaumont, TX 77708 | 2006-08-18 |
| Street Address |
535 CARNAHAN PL |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598980815 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 11510 Loop Rd, Beaumont, TX 77713-8664 | 2007-04-13 |
| 1407071723 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 4415 Jerry Dr, Beaumont, TX 77703-1923 | 2007-04-13 |
| 1104041524 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 9604 Meadowick Dr., Beaumont, TX 77706 | 2007-04-13 |
| 1639394950 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 10980 Pine Haven St, Beaumont, TX 77713-8700 | 2007-04-13 |
| 1801010566 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 5010 Ada St, Beaumont, TX 77708-4411 | 2007-04-12 |
| 1518089739 | Educare Comm Living Corp Texas | Intermediate Care Facility, Mentally Retarded | 9165 Landis Dr, Beaumont, TX 77707-1245 | 2007-04-06 |
| 1942321385 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 3550 Austin St, Beaumont, TX 77706-3004 | 2007-04-03 |
| 1871614222 | Educare Comm Living Corp Texas | Intermediate Care Facility, Mentally Retarded | 5155 Cambridge Dr, Beaumont, TX 77707-2043 | 2007-04-03 |
| 1073634432 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 7585 San Diego St, Beaumont, TX 77708-2305 | 2007-04-03 |
| 1427162346 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 5010 Ada, Beaumont, TX 77706 | 2006-08-18 |
| Find all providers in BEAUMONT | ||||
Please comment or provide details below to improve the information on GOLDEN TRIANGLE LIVING CENTERS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.