GOLDEN TRIANGLE LIVING CENTERS INC (NPI# 1780798603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780798603 |
| Entity Type | Organization |
| Organization Name | GOLDEN TRIANGLE LIVING CENTERS INC |
| Other Organization Name | GRIFFIN LIVING CENTER |
| Practice Address |
3905 28th St Port Arthur TX 77642 |
| Mailing Address |
2750 South 4th St Beaumont TX 77701-7912 |
| Practice Telephone | 4099837756 |
| 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 | 115771 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 45H111 | 05 |
| Other Name | Type Code |
|---|---|
| Griffin 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 |
| 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 |
| Street Address |
3905 28TH ST |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093112997 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3905 28th St, Port Arthur, TX 77642-3923 | 2014-11-21 |
| 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 |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1679896534 | Jared Clark Mallory | Physical Therapist | 3398 25th Street, Port Arthur, TX 77642 | 2010-03-08 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| 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 |
| 1124242268 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2810 Sheridan Ln, Port Arthur, TX 77640-2644 | 2007-04-12 |
| 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 | 77642 |
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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.