GOLDEN TRIANGLE LIVING CENTERS INC


Address: 8255 Shiloh, Beaumont, TX 77706
Phone: 4098614320

GOLDEN TRIANGLE LIVING CENTERS INC (NPI# 1518071430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518071430
Entity Type Organization
Organization Name GOLDEN TRIANGLE LIVING CENTERS INC
Other Organization Name THOUSAND OAKS LIVING CENTER
Practice Address 8255 Shiloh
Beaumont
TX 77706
Mailing Address 2750 South 4th Street
Beaumont
TX 77701-7912
Practice Telephone 4098614320
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 116277 TX Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 45G404 05

Other Provider/Organization Names

Other Name Type Code
Thousand Oaks Living Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427162346 Golden Triangle Living Centers Inc Intermediate Care Facility, Mentally Retarded 5010 Ada, 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
1043324965 Golden Triangle Living Centers Inc Intermediate Care Facility, Mentally Retarded 535 Carnahan Pl, Beaumont, TX 77707 2006-08-18
1609980523 Golden Triangle Living Centers Inc Intermediate Care Facility, Mentally Retarded 5125 Mcanelly Dr, Beaumont, TX 77708 2006-08-18

Office Location

Street Address 8255 SHILOH
City BEAUMONT
State TX
Zip Code 77706

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982176293 Allen Family Home Care LLC In Home Supportive Care 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 2018-12-27
1730661174 Joseph Pryor Ingram Counselor 5450 Folsom Road #3, Beaumont, TX 77706 2018-09-02
1336644582 Jenny Lee Broaddus Counselor 8150 N. Major Dr., Beaumont, TX 77706 2018-03-29
1528584026 Amanthia Peace Williams Pedorthist 3645 Calder Ave., Beaumont, TX 77706 2017-08-16
1356863286 Nicole Denise Williams Speech-Language Pathologist 970 North 23rd Street, Beaumont, TX 77706 2017-07-12
1487038923 Associates for Dental Health, Pllc Dentist 415 Dowlen Rd Ste A, Beaumont, TX 77706 2015-07-15
1508264532 Rose Anne Essex Dietitian, Registered 3510 Charleston Ln, Beaumont, TX 77706 2014-12-08
1780001933 C. Asteris, Inc. Contractor 1465 W. Lucas Dr., Beaumont, TX 77706 2014-03-26
1376985820 Erica J Hayes M D P A Preferred Provider Organization 4a Bayou Brandt Drive, Beaumont, TX 77706 2013-07-25
1194162909 Hezron Omanga Pharmacist 3585 N. Dowlen Road, Beaumont, TX 77706 2013-06-03
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

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
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City BEAUMONT
Zip Code 77706

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Dataset Information

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.

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