DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC (NPI# 1912304817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912304817 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC |
| Practice Address |
1309 Nottingham Dr Orange TX 77632-0449 |
| 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 |
| 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 |
| 1376940262 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10980 Pine Haven St, Beaumont, TX 77713-8700 | 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 |
1309 NOTTINGHAM DR |
| City | ORANGE |
| State | TX |
| Zip Code | 77632-0449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932323094 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 1309 Nottingham Dr, Orange, TX 77632-0449 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205085164 | Dr. Hamid Reza Jalali, D.o., P.a. | General Practice | 11946 Hwy 62 North, Orange, TX 77632 | 2008-09-16 |
| 1831331669 | Darla Brister | Physical Therapist | 1504 Buckingham Dr, Orange, TX 77632-0425 | 2009-03-25 |
| 1801819495 | Larry Al Wilson | Counselor | 2708 E Tanager Trl, Orange, TX 77632-0750 | 2006-07-25 |
| 1225219090 | Summit Clinical Services Pllc | Counselor | 2708 E Tanager Trl, Orange, TX 77632-0750 | 2007-11-20 |
| 1578847786 | Access Home Health Services | Home Health | 1810 W Luther Dr, Orange, TX 77632-1012 | 2011-10-06 |
| 1700179488 | Maria Elaline Hebert | Speech-Language Pathologist | 5723 Meeks Dr, Orange, TX 77632-1019 | 2011-05-27 |
| 1427605419 | Karen Marie Medlock | Social Worker | 10100 Fm 1130, Orange, TX 77632-1081 | 2019-08-23 |
| 1093958837 | Venkatesh C. S. Srinibasa Murphy | Speech-Language Pathologist | 1905 Thousand Oaks Dr, Orange, TX 77632-1214 | 2009-04-09 |
| 1083838742 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 1924 Thousand Oaks Dr, Orange, TX 77632-1215 | 2007-04-12 |
| 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 |
| Find all providers in zip 77632 | ||||
| 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 |
|---|---|---|---|---|
| 1376639609 | Cachuela Icfddn Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1721 N Greengrove, Orange, CA 92865-4616 | 2006-10-05 |
| 1164445508 | Cachuela Icf/dd-n Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1721 N Greengrove St, Orange, CA 92865-4616 | 2006-07-26 |
| 1558719229 | Cerebral Palsy of North Jersey | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 26 N Center St, Orange, NJ 07050-3763 | 2016-06-02 |
| 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 |
| 1447657341 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2204 24th St, Orange, TX 77630-3115 | 2014-11-21 |
| 1649677543 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1682 Huntsman St, Orange, TX 77632-1848 | 2014-11-21 |
| 1164853008 | Cachuela Icf/ddn Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1721 N Greengrove St, Orange, CA 92865-4616 | 2013-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581782 | Joyful Psalm | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1354 Ravenwood Ct, Crowley, TX 76036-3472 | 2020-09-04 |
| 1790394161 | Modern Vintage Residential Care, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4015 Alexis Tate Cir, Missouri City, TX 77459-5039 | 2020-07-30 |
| 1285253856 | 1 Care Premier Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 340 N Sam Houston Pkwy E Ste A247, Houston, TX 77060-3305 | 2020-04-13 |
| 1568093888 | James Micah Howard | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11911 Lakewood Trl, Tomball, TX 77377-8563 | 2020-01-27 |
| 1518507110 | Gems Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5810 Liverpool St, Aubrey, TX 76227-1909 | 2020-01-10 |
| 1366081812 | Abundant Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Maxfield St, Waco, TX 76705-2967 | 2020-01-02 |
| 1306487426 | Fort Healthcare LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5833 Oakbend Trail, #200, Fort Worth, TX 76132-3900 | 2019-09-30 |
| 1144877481 | Boniswa Portia Maduna | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8000 Cook Rd Apt 1109, Houston, TX 77072-3939 | 2019-08-21 |
| 1871148171 | Kenneth Allen | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 135 E Menefee St, Lufkin, TX 75901-4701 | 2019-08-05 |
| 1124673553 | 1st A & M Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 504 Spicewood Dr, Desoto, TX 75115-1485 | 2019-08-02 |
| Find all providers with the same taxonomy | ||||
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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.