CHERYL LIVING CENTER (GOLDEN TRIANGLE LIVING CENTERS, INC.) NPI 1003030768

Intermediate Care Facility, Mentally Retarded in Beaumont, TX

NPI 1003030768 Organization Intermediate Care Facility, Mentally Ret...

About CHERYL LIVING CENTER (GOLDEN TRIANGLE LIVING CENTERS, INC.)

Cheryl Living Center (golden Triangle Living Centers, Inc.) is a provider established in Beaumont, Texas specializing in intermediate care facility, mentally retarded. The NPI number of Cheryl Living Center (golden Triangle Living Centers, Inc.) is 1003030768 and was assigned on April 2007. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Cheryl Living Center. The authorized official of this NPI record is James E. Richardson (C.e.o.)

NPI

1003030768

Provider NameCHERYL LIVING CENTER (GOLDEN TRIANGLE LIVING CENTERS, INC.)
Provider Location Address3895 CHERYL ST BEAUMONT, TX 77713
Provider Mailing Address715 MAIN ST PINEVILLE, LA 71360
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCHERYL LIVING CENTER
Other Name TypeDoing Business As (3)
Enumeration Date04-12-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code315P00000X
ClassificationIntermediate Care Facility, Mentally Retarded
TypeNursing & Custodial Care Facilities
Taxonomy Description(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.

Business Address

CHERYL LIVING CENTER
3895 CHERYL ST
BEAUMONT, TX
ZIP 77713
Phone: (409) 832-4112

Get Directions


Mailing Address

CHERYL LIVING CENTER
715 MAIN ST
PINEVILLE, LA
ZIP 71360
Phone:



Authorized Official

Authorized Official Name JAMES E. RICHARDSON
Authorized Official TitleC.E.O.
Authorized Official Phone(318) 445-6470

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720485683DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC
Organization
Residential Treatment Facility, Intellectual and/or Developmental Disabilities3895 CHERYL ST
BEAUMONT, TX 77713
(409) 832-4112

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.