GOLDEN TRIANGLE LIVING CENTERS INC NPI 1316051238

NPI Information

NPI: 1316051238
Provider Name: GOLDEN TRIANGLE LIVING CENTERS INC

Doing Business As: PINEHAVEN LIVING CENTER

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
10980 PINEHAVEN
BEAUMONT, TX
ZIP 77713
Phone: (409) 899-9522
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GOLDEN TRIANGLE LIVING CENTERS INC is an intermediate care facility mentally retarded in Beaumont, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GOLDEN TRIANGLE LIVING CENTERS INC NPI is 1316051238. The provider is registered as an organization entity type.
The provider Is Doing Business As Pinehaven Living Center.

The provider's business location address is:

10980 PINEHAVEN
BEAUMONT, TX
ZIP 77713
Phone: (409) 899-9522
Fax: (409) 832-8044

The provider's authorized official is Jerrine B Harrell .
The authorized official title is President and has the following contact phone number (318) 445-6470.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		116516	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	45G413	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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