1. Home
  2. Directory
  3. Texas
  4. Port Arthur
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

MODEL LIVING CENTER
NPI 1164536082
Intermediate Care Facility, Intellectual Disabilities in Port Arthur, TX

Active since August 18, 2006
411 5TH AVENUE, PORT ARTHUR, TX 77642(409) 985-4774(409) 832-8044 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Model Living Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODEL LIVING CENTER (NPI 1164536082) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Port Arthur, Texas and active in the NPI registry since August 2006. The organization lists Jerrine B Harrell, President, as its authorized official.

NPPES Registry Identity

NPI1164536082
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameGOLDEN TRIANGLE LIVING CENTERS INC
Location Address411 5TH AVENUEPort Arthur, TX 77642
Mailing Address2750 South 4th StreetBeaumont, TX 77701-7912 · (409) 832-4112 · Fax (409) 832-8044
Phone(409) 985-4774
Fax(409) 832-8044
Organization SubpartNo
Authorized OfficialJerrine B HarrellPresident · (318) 445-6470
Enumeration DateAugust 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164536082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in TX · 116213
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
411 5TH AVENUE, Port Arthur, TX 77642
Open in Google Maps ↗

Other Names 1

Doing Business AsModel Living Center

Other Identifiers 1

Medicaid45H125TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Golden Triangle Living Centers Inc's NPI number?

The NPI number for Golden Triangle Living Centers Inc is 1164536082. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider is doing business as Model Living Center.

Where is Golden Triangle Living Centers Inc located?

Golden Triangle Living Centers Inc is located at 411 5th Avenue, Port Arthur, TX 77642. The listed phone number is (409) 985-4774.

What is Golden Triangle Living Centers Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Golden Triangle Living Centers Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.