JERRY LIVING CENTER
NPI 1407071723
Intermediate Care Facility, Intellectual Disabilities in Beaumont, TX

Q: What is Golden Triangle Living Centers, Inc.'s NPI number?

The NPI number for Golden Triangle Living Centers, Inc. is 1407071723. It was assigned to this organization in the NPPES registry on April 13, 2007. The provider is doing business as Jerry Living Center.

Q: 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.

Active since April 13, 2007

4415 JERRY DR, BEAUMONT, TX 77703(409) 832-4112 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Jerry Living Center NPPES

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

JERRY LIVING CENTER (NPI 1407071723) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Beaumont, Texas and active in the NPI registry since April 2007. The organization lists James E. Richardson, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1407071723

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameGOLDEN TRIANGLE LIVING CENTERS, INC.

Location Address4415 JERRY DRBeaumont, TX 77703-1923

Mailing Address715 Main StPineville, LA 71360-6937

Phone(409) 832-4112

Organization SubpartNo

Authorized OfficialJames E. RichardsonC.e.o. · (318) 445-6470

Enumeration DateApril 13, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1407071723 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

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

4415 JERRY DR, Beaumont, TX 77703

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Other Names 1

Doing Business AsJerry Living Center

Other Providers at the Same Location NPPES 2

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

4415 JERRY DR
BEAUMONT, TX 77703

Jefferson County (409) 832-4112

DUNGARVIN TEXAS, LLC

Intermediate Care Facility, Intellectual Disabilities

4415 JERRY DR
BEAUMONT, TX 77703

Jefferson County (409) 899-4766

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 1407071723. It was assigned to this organization in the NPPES registry on April 13, 2007. The provider is doing business as Jerry Living Center.

Where is Golden Triangle Living Centers, Inc. located?

Golden Triangle Living Centers, Inc. is located at 4415 Jerry Dr, Beaumont, TX 77703. The listed phone number is (409) 832-4112.

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 6 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.