DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC (NPI# 1376940262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376940262 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC |
| Practice Address |
10980 Pine Haven St Beaumont TX 77713-8700 |
| Mailing Address |
2750 S 4th St Beaumont TX 77701-7912 |
| Practice Telephone | 4098324112 |
| Mailing Telephone | 4098324112 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Authorized Official Name | WAYNE ADDISON (COO) |
| Authorized Official Telephone | 9016925555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | TX | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | APPLIED FOR | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912304544 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9640 Meadowick Dr, Beaumont, TX 77706-3859 | 2014-11-25 |
| 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 |
| 1083011985 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 101 Oglesbee Rd, Silsbee, TX 77656-5925 | 2014-11-21 |
| 1720485626 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5010 Ada St, Beaumont, TX 77708-4411 | 2014-11-21 |
| 1912304817 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1309 Nottingham Dr, Orange, TX 77632-0449 | 2014-11-21 |
| 1558768457 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4415 Jerry Dr, Beaumont, TX 77703-1923 | 2014-11-21 |
| 1821495722 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1924 Thousand Oaks Dr, Orange, TX 77632-1215 | 2014-11-21 |
| 1285031179 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1760 Sams Way, Beaumont, TX 77706-3128 | 2014-11-21 |
| 1194122093 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11510 Loop Rd, Beaumont, TX 77713-8664 | 2014-11-21 |
| 1467859355 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5125 Mcanelly Dr, Beaumont, TX 77708-1901 | 2014-11-21 |
| Street Address |
10980 PINE HAVEN ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77713-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639394950 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 10980 Pine Haven St, Beaumont, TX 77713-8700 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770141327 | Beaumont Urgent Care Management Partners, LLC | Clinic/Center | 3650 N. Major Dr., Suite A, Beaumont, TX 77713 | 2019-05-30 |
| 1518233485 | Jennifer Price | Technician | 7495 Westhaven, Beaumont, TX 77713 | 2012-03-26 |
| 1861535452 | Leila Elizabeth Cleveland | Audiologist | 6270 Phelan Blvd, Beaumont, TX 77713 | 2007-02-14 |
| 1821190851 | Austin A Barnett Dds PC | Dentist | 7985 Hwy 105, Beaumont, TX 77713 | 2006-09-01 |
| 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 |
| 1417567934 | Cassandra Covington Dewall | Counselor | 8150 N. Major Dr., Beaumont, TX 77713 | 2020-08-10 |
| 1568598142 | Lee Haak Md Pa | Family Medicine | 5875 N Major Dr, Ste 134, Beaumont, TX 77713 | 2007-02-26 |
| 1508485251 | Setx Healthcare Partners LLC | Clinic/Center | 3255 N Major Dr Ste F, Beaumont, TX 77713-1034 | 2020-04-13 |
| 1972141158 | Lisa Marie Davila | Nurse Practitioner | 14870 Michelle Ln, Beaumont, TX 77713-2308 | 2019-12-18 |
| Find all providers in zip 77713 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285098764 | Initiative Care Group Hcs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 730 Adams St, Beaumont, TX 77705-4126 | 2016-04-11 |
| 1063616548 | Golden Triangle Living Center, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2750 S 4th St, Beaumont, TX 77701-7912 | 2007-06-11 |
| 1912304544 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9640 Meadowick Dr, Beaumont, TX 77706-3859 | 2014-11-25 |
| 1720485626 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5010 Ada St, Beaumont, TX 77708-4411 | 2014-11-21 |
| 1558768457 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4415 Jerry Dr, Beaumont, TX 77703-1923 | 2014-11-21 |
| 1285031179 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1760 Sams Way, Beaumont, TX 77706-3128 | 2014-11-21 |
| 1194122093 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11510 Loop Rd, Beaumont, TX 77713-8664 | 2014-11-21 |
| 1467859355 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5125 Mcanelly Dr, Beaumont, TX 77708-1901 | 2014-11-21 |
| 1720485683 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3895 Cheryl St, Beaumont, TX 77713-9547 | 2014-11-20 |
| 1134525413 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6270 Carnation Dr, Beaumont, TX 77706-5505 | 2014-11-13 |
| Find all providers in BEAUMONT | ||||
Please comment or provide details below to improve the information on DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC.
| 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.