Model Living Center

LBN: Golden Triangle Living Centers Inc
Model Living Center is an health care organization with primary practice located at 411 5Th Avenue , Port Arthur TX 77642. 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 Centers Inc can be contacted via phone (409) 985-4774, or through Harrell, Jerrine B via phone (318) 445-6470.

Contact Information

Primary practice address
411 5Th Avenue Port Arthur TX 77642
Phone: (409) 985-4774
Fax: (409) 832-8044
Website:
Map and Directions
Authorized official contact:
Name: Harrell, Jerrine B
Phone: (318) 445-6470

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 116213 Texas

Profile Details

NPI number 1164536082
LBN Legal business name Golden Triangle Living Centers Inc
DBA Doing business as Model Living Center
Authorized official Harrell, Jerrine B
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1164536082 NPPES
Texas MEDICAID 45H125

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