DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC


Address: 2810 Sheridan Ln, Port Arthur, TX 77640-2644
Phone: 4098324112

DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC (NPI# 1285031187) 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) 1285031187
Entity Type Organization
Organization Name DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC
Practice Address 2810 Sheridan Ln
Port Arthur
TX 77640-2644
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
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
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

Office Location

Street Address 2810 SHERIDAN LN
City PORT ARTHUR
State TX
Zip Code 77640-2644

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124242268 Golden Triangle Living Centers, Inc. Intermediate Care Facility, Mentally Retarded 2810 Sheridan Ln, Port Arthur, TX 77640-2644 2007-04-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275031676 Grupo Segovia Sc Specialist 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 2018-01-31
1811495575 Total Care Medical, Pllc Clinic/Center 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 2018-01-29
1750805586 Bv Continuing Care Center Ltd. Co. Skilled Nursing Facility 8595 Medical Center Blvd., Port Arthur, TX 77640 2017-08-02
1053840561 Centro Medico De Cozumel Sa De Cv General Acute Care Hospital Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 2017-06-08
1306391719 Hector Trevino Dentist 2780 Fm 365, Port Arthur, TX 77640 2016-08-16
1316325616 Gulfside Dental Port Arthur Pllc Dentist 2780 Hwy 365, Suite C, Port Arthur, TX 77640 2015-05-07
1962894782 Chris Hale Specialist/Technologist, Other 6361 Katy Av, Port Arthur, TX 77640 2015-03-03
1396157681 Jack 1 Foundation Inc. Day Training, Developmentally Disabled Services 235 Procter St., Port Arthur, TX 77640 2014-05-21
1205275054 Gulf Coast Health Center, Inc Clinic/Center 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 2013-06-14
1285909432 Costamed General Acute Care Hospital Calle Primera Sur No. 101, Cozumel, QR 77640 2012-03-20
Find all providers in zip 77640

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
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
1629475520 Developmental Disabilities Management Services of Beaumont, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 411 5th Ave, Port Arthur, TX 77642-3389 2014-11-21

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City PORT ARTHUR
Zip Code 77640

Improve Information

Please comment or provide details below to improve the information on DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC.

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.

Trending Searches