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DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC
NPI 1558768457
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Beaumont, TX

Active since November 21, 2014
4415 JERRY DR, BEAUMONT, TX 77703(409) 832-4112 Get Directions Write a Review

NPPES record last updated: March 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2023, Oct 7, 2022 (2 updates tracked since 2022).

About Developmental Disabilities Management Services Of Beaumont, Llc NPPES

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

DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC (NPI 1558768457) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Beaumont, Texas and active in the NPI registry since November 2014. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1558768457
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameDEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC
Location Address4415 JERRY DRBeaumont, TX 77703-1923
Mailing Address313 Congress St Fl 5Boston, MA 02210-1218 · (800) 388-5150 · Fax (617) 790-4271
Phone(409) 832-4112
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateNovember 21, 2014
Last NPPES UpdateMarch 5, 20232 updates tracked since enumeration
NPPES CertifiedMarch 5, 2023
✔ NPI 1558768457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
4415 JERRY DR, Beaumont, TX 77703
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Other Identifiers 1

MedicaidAPPLIED FORTX

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.

GOLDEN TRIANGLE LIVING CENTERS, INC.
Intermediate Care Facility, Intellectual 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 Developmental Disabilities Management Services Of Beaumont, LLC's NPI number?

The NPI number for Developmental Disabilities Management Services Of Beaumont, LLC is 1558768457. It was assigned to this organization in the NPPES registry on November 21, 2014.

Where is Developmental Disabilities Management Services Of Beaumont, LLC located?

Developmental Disabilities Management Services Of Beaumont, LLC is located at 4415 Jerry Dr, Beaumont, TX 77703. The listed phone number is (409) 832-4112.

What is Developmental Disabilities Management Services Of Beaumont, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Developmental Disabilities Management Services Of Beaumont, LLC was last updated on March 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.