Golden Triangle Adult Day Care

LBN: Jack 1 Foundation Inc.
Golden Triangle Adult Day Care is an health care organization with primary practice located at 235 Procter St. , Port Arthur TX 77640. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Ambulatory Health Care Facilities / Adult Day Care, Respite Care Facility / Respite Care. Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Jack 1 Foundation Inc. can be contacted via phone (409) 984-5720, or through Jackson, Judyette via phone (409) 719-7003.

Contact Information

Primary practice address
235 Procter St. Port Arthur TX 77640
Phone: (409) 984-5720
Fax: (409) 984-5720
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Judyette
Phone: (409) 719-7003

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1396157681
LBN Legal business name Jack 1 Foundation Inc.
DBA Doing business as Golden Triangle Adult Day Care
Authorized official Jackson, Judyette
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2014
Last updated May 21st, 2014 - about 11 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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