Mcannelly Community Home

LBN: Golden Triangle Living Centers, Inc.
Mcannelly Community Home is an health care organization with primary practice located at 5125 Mcanelly Dr , Beaumont TX 77708-1901. 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) 832-4112, or through Richardson, James E. via phone (318) 445-6470.

Contact Information

Primary practice address
5125 Mcanelly Dr Beaumont TX 77708-1901
Phone: (409) 832-4112
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 1720203045
LBN Legal business name Golden Triangle Living Centers, Inc.
DBA Doing business as Mcannelly Community Home
Authorized official Richardson, James E.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2007
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 1720203045 NPPES
Texas MEDICAID 0040140145

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