Developmental Disabilities Management Services Of Beaumont, Llc

LBN: Developmental Disabilities Management Services Of Beaumont, Llc
Developmental Disabilities Management Services Of Beaumont, Llc is an health care organization with primary practice located at 4415 Jerry Dr , Beaumont TX 77703-1923. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Developmental Disabilities Management Services Of Beaumont, Llc can be contacted via phone (409) 832-4112, or through Cohen, Brett Ian via phone (800) 388-5150.

Contact Information

Primary practice address
4415 Jerry Dr Beaumont TX 77703-1923
Phone: (409) 832-4112
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cohen, Brett Ian
Phone: (800) 388-5150

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Texas

Profile Details

NPI number 1558768457
LBN Legal business name Developmental Disabilities Management Services Of Beaumont, Llc
DBA Doing business as
Authorized official Cohen, Brett Ian
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2014
Last updated Mar 5th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558768457 NPPES
Texas MEDICAID APPLIED FOR

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