DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC


Address: 11510 Loop Rd, Beaumont, TX 77713-8664
Phone: 4098324112

DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC (NPI# 1194122093) 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) 1194122093
Entity Type Organization
Organization Name DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC
Practice Address 11510 Loop Rd
Beaumont
TX 77713-8664
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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TX APPLIED FOR 05

Other Provider IDs and Locations

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
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
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

Office Location

Street Address 11510 LOOP RD
City BEAUMONT
State TX
Zip Code 77713-8664

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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
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

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City BEAUMONT
Zip Code 77713

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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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