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SAMS WAY LIVING CENTER
NPI 1255445177
Intermediate Care Facility, Intellectual Disabilities in Beaumont, TX

Active since August 18, 2006CLIA 45D2160131 · Waiver
1760 SAMS WAY, BEAUMONT, TX 77706(409) 860-4051(409) 832-8044 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sams Way Living Center NPPES

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

SAMS WAY LIVING CENTER (NPI 1255445177) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Beaumont, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Jerrine B Harrell, President, as its authorized official.

NPPES Registry Identity

NPI1255445177
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameGOLDEN TRIANGLE LIVING CENTERS INC
Location Address1760 SAMS WAYBeaumont, TX 77706
Mailing Address2750 South 4th StreetBeaumont, TX 77701-7912 · (409) 832-4112 · Fax (409) 832-8044
Phone(409) 860-4051
Fax(409) 832-8044
Organization SubpartNo
Authorized OfficialJerrine B HarrellPresident · (318) 445-6470
Enumeration DateAugust 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255445177 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 · 116341
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1760 SAMS WAY, Beaumont, TX 77706
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Other Names 1

Doing Business AsSams Way Living Center

Other Identifiers 1

Medicaid45G410TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2160131

Samsway Living Center · Beaumont, TX
Active · expires Jan 3, 2027
CLIA Number45D2160131
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorLawtrice D. Budwine
Laboratory Phone(409) 832-4112
Laboratory LocationSamsway Living Center1760 Samsway, Beaumont, TX 77706
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1760 SAMS WAY
BEAUMONT, TX 77706
Jefferson County (409) 832-4112
DUNGARVIN TEXAS, LLC
Intermediate Care Facility, Intellectual Disabilities
1760 SAMS WAY
BEAUMONT, TX 77706
Jefferson County (409) 860-4051
GOLDEN TRIANGLE LIVING CENTERS, INC.
Intermediate Care Facility, Intellectual Disabilities
1760 SAMS WAY
BEAUMONT, TX 77706
Jefferson County (409) 832-4112

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 1255445177. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider is doing business as Sams Way Living Center.

Where is Golden Triangle Living Centers Inc located?

Golden Triangle Living Centers Inc is located at 1760 Sams Way, Beaumont, TX 77706. The listed phone number is (409) 860-4051.

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.

Does Golden Triangle Living Centers Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2160131) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.