GOLDEN TRIANGLE LIVING CENTERS, INC. (NPI# 1124242268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124242268 |
| Entity Type | Organization |
| Organization Name | GOLDEN TRIANGLE LIVING CENTERS, INC. |
| Other Organization Name | SHERIDAN LIVING CENTER |
| Practice Address |
2810 Sheridan Ln Port Arthur TX 77640-2644 |
| Mailing Address |
715 Main St Pineville LA 71360-6937 |
| Practice Telephone | 4098324112 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES E. RICHARDSON (C.E.O.) |
| 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 | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sheridan Living Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013132331 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 411 5th Ave, Port Arthur, TX 77642-3389 | 2007-04-13 |
| 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 |
| 1891919551 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 1682 Huntsman St, Orange, TX 77632-1848 | 2007-04-12 |
| 1932323094 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 1309 Nottingham Dr, Orange, TX 77632-0449 | 2007-04-12 |
| 1083838742 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 1924 Thousand Oaks Dr, Orange, TX 77632-1215 | 2007-04-12 |
| 1720203045 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 5125 Mcanelly Dr, Beaumont, TX 77708-1901 | 2007-04-13 |
| Street Address |
2810 SHERIDAN LN |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285031187 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2810 Sheridan Ln, Port Arthur, TX 77640-2644 | 2014-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1811495575 | Total Care Medical, Pllc | Clinic/Center | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 | 2018-01-29 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
| 1396157681 | Jack 1 Foundation Inc. | Day Training, Developmentally Disabled Services | 235 Procter St., Port Arthur, TX 77640 | 2014-05-21 |
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| Find all providers in zip 77640 | ||||
| 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 |
|---|---|---|---|---|
| 1013132331 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 411 5th Ave, Port Arthur, TX 77642-3389 | 2007-04-13 |
| 1780798603 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 3905 28th St, Port Arthur, TX 77642 | 2006-08-18 |
| 1073627998 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 2810 Sheridan, Port Arthur, TX 77642 | 2006-08-18 |
| 1164536082 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 411 5th Avenue, Port Arthur, TX 77642 | 2006-08-18 |
| 1316162639 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3905 28th St, Port Arthur, TX 77642-3923 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639271 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3323 Gail Ln, Tyler, TX 75701-7425 | 2020-11-05 |
| 1952902900 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2500 Terry Pl, Greenville, TX 75402-7131 | 2020-11-05 |
| 1811598865 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 100 Patti J St, Greenville, TX 75402-8053 | 2020-11-05 |
| 1124629175 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2616 Pounds Ave, Tyler, TX 75701-5627 | 2020-11-05 |
| 1568063527 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2525 Preston Ave, Tyler, TX 75701-4644 | 2020-11-05 |
| 1104427509 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2812 Shaffer Ln, Tyler, TX 75702-1653 | 2020-11-03 |
| 1265033658 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3506 Garber Cir, Greenville, TX 75402-6234 | 2020-11-03 |
| 1487255873 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3600 New Copeland Rd, Tyler, TX 75701-8839 | 2020-11-03 |
| 1306446000 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 Braddock Pl, Dallas, TX 75232-2902 | 2020-10-30 |
| 1578179750 | Keondra C Johnson | Intermediate Care Facility, Mentally Retarded | 2140 Medical District Dr Apt 2052, Dallas, TX 75235-8097 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
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| 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.