ADA LIVING CENTER
NPI 1427162346
Intermediate Care Facility, Intellectual Disabilities in Beaumont, TX

Active since August 18, 2006CLIA 45D2111702 · Waiver
5010 ADA, BEAUMONT, TX 77706(409) 899-2834(409) 832-8044 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ada Living Center NPPES

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

ADA LIVING CENTER (NPI 1427162346) 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 April 12, 2028 and lists Jerrine B Harrell, President, as its authorized official.

NPPES Registry Identity

NPI1427162346
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameGOLDEN TRIANGLE LIVING CENTERS INC
Location Address5010 ADABeaumont, TX 77706
Mailing Address2750 South 4th StreetBeaumont, TX 77701-7912 · (409) 832-4112 · Fax (409) 832-8044
Fax(409) 832-8044
Organization SubpartNo
Authorized OfficialJerrine B HarrellPresident · (318) 445-6470
Enumeration DateAugust 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1427162346 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 · 111125
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
5010 ADA, Beaumont, TX 77706

Other Names 1

Doing Business AsAda Living Center

Other Identifiers 1

Medicaid45G990TX

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 45D2111702

Ada Living Center · Beaumont, TX
Active · expires Apr 12, 2028
CLIA Number45D2111702
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorLawtrice D. Budwine
Laboratory Phone(409) 832-4112
Laboratory LocationAda Living Center5010 Ada Street, Beaumont, TX 77708
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1427162346. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider is doing business as Ada Living Center.

Where is Golden Triangle Living Centers Inc located?

Golden Triangle Living Centers Inc is located at 5010 Ada, Beaumont, TX 77706. The listed phone number is (409) 899-2834.

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 45D2111702) is associated with this NPI, valid through April 12, 2028. 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 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.