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GOLDEN TRIANGLE LIVING CENTERS INC NPI 1598879413


NPI Information

NPI: 1598879413
Provider Name: GOLDEN TRIANGLE LIVING CENTERS INC

Doing Business As: NOTTINGHAM LIVING CENTER

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
5965 NAVAJO TRAIL
BEAUMONT, TX
ZIP 77708
Phone: (409) 898-4605
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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 1598879413. The provider is registered as an organization entity type.
The provider Is Doing Business As Nottingham Living Center.

The provider's business location address is:

5965 NAVAJO TRAIL
BEAUMONT, TX
ZIP 77708
Phone: (409) 898-4605
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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual Disabilities114962TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
145G412MEDICAIDTEXAS

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: 4/28/2024

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