GOLDEN TRIANGLE LIVING CENTERS INC


Address: 6270 Carnation Dr, Beaumont, TX 77703
Phone: 4098668785

GOLDEN TRIANGLE LIVING CENTERS INC (NPI# 1225142144) 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) 1225142144
Entity Type Organization
Organization Name GOLDEN TRIANGLE LIVING CENTERS INC
Other Organization Name CARNATION LIVING CENTER
Practice Address 6270 Carnation Dr
Beaumont
TX 77703
Mailing Address 2750 South 4th St
Beaumont
TX 77701-7912
Practice Telephone 4098668785
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 116518 TX Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 45G393 05

Other Provider/Organization Names

Other Name Type Code
Carnation 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
1518071430 Golden Triangle Living Centers Inc Intermediate Care Facility, Mentally Retarded 8255 Shiloh, 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

Office Location

Street Address 6270 CARNATION DR
City BEAUMONT
State TX
Zip Code 77703

Providers in the same location

NPI Name Taxonomy Address Enumeration
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
1194949859 Golden Triangle Living Centers, Inc. Intermediate Care Facility, Mentally Retarded 6270 Carnation Dr, Beaumont, TX 77706-5505 2007-04-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548687684 Christie N Beaugh Counselor 2574 North 11th Street, Beaumont, TX 77703 2014-03-26
1366728040 Beaumont Orthodontic Specialists Dentist 3954 Eastex Freeway, Beaumont, TX 77703 2011-10-26
1033395660 Danari, Inc Durable Medical Equipment & Medical Supplies 2190 Eastex Freeway, Beaumont, TX 77703 2008-01-14
1801091848 Catholic Charities of Southeast Texas Counselor 2780 Eastex Freeway, Beaumont, TX 77703 2007-06-19
1487874400 Joseph W Provo IIi Dentist 1460 Ih 10 East, Suite A, Beaumont, TX 77703 2007-05-01
1023134608 Assisted Living Concepts Inc Assisted Living Facility 2910 Toccoa Road, Beaumont, TX 77703 2007-03-22
1134233059 Golden Traingle Living Centers Inc Intermediate Care Facility, Mentally Retarded 4415 Jerry, Beaumont, TX 77703 2006-08-18
1760588123 Patrick Joseph Concannon Radiologic Technologist 2002 Holcombe Blvd, Houston, TX 77703 2006-09-15
1487214987 Edalynn Roper Home Health Aide 4885 Detroit St, Beaumont, TX 77703-1416 2019-06-17
1225106339 Nutrition and Services for Seniors Home Delivered Meals 4590 Concord Rd, Beaumont, TX 77703-1806 2006-11-30
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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
Find all providers in BEAUMONT

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City BEAUMONT
Zip Code 77703

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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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