Roosevelt Community Home

LBN: Golden Triangle Living Center, Inc
Roosevelt Community Home is an health care organization with primary practice located at 1020 Roosevelt Dr , Silsbee TX 77656-3408. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Golden Triangle Living Center, Inc can be contacted via phone (409) 385-3723, or through Richardson, James E via phone (318) 445-6470.

Contact Information

Primary practice address
1020 Roosevelt Dr Silsbee TX 77656-3408
Phone: (409) 385-3723
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richardson, James E
Phone: (318) 445-6470

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1780908103
LBN Legal business name Golden Triangle Living Center, Inc
DBA Doing business as Roosevelt Community Home
Authorized official Richardson, James E
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2010
Last updated Mar 15th, 2010 - about 14 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 1780908103 NPPES
Texas MEDICAID 0000I8H4S

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