MCANELLY LIVING CENTERS
NPI 1609980523
Intermediate Care Facility, Intellectual Disabilities in Beaumont, TX

Active since August 18, 2006CLIA 45D2111709 · Waiver
5125 MCANELLY DR, BEAUMONT, TX 77708(409) 899-1673(409) 832-8044 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mcanelly Living Centers NPPES

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

MCANELLY LIVING CENTERS (NPI 1609980523) 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

NPI1609980523
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameGOLDEN TRIANGLE LIVING CENTERS INC
Location Address5125 MCANELLY DRBeaumont, TX 77708
Mailing Address2750 South 4th StBeaumont, 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 1609980523 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 · 116564
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
5125 MCANELLY DR, Beaumont, TX 77708

Other Names 1

Doing Business AsMcanelly Living Centers

Other Identifiers 1

Medicaid45G396TX

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 45D2111709

Mcanelly Living Center · Beaumont, TX
Active · expires Apr 12, 2028
CLIA Number45D2111709
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 LocationMcanelly Living Center5125 Mcanelly Street, Beaumont, TX 77708
CLIA data matches this NPI record on: Name 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.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
5125 MCANELLY DR
BEAUMONT, TX 77708
Intermediate Care Facility, Intellectual Disabilities
5125 MCANELLY DR
BEAUMONT, TX 77708
Intermediate Care Facility, Intellectual Disabilities
5125 MCANELLY DR
BEAUMONT, TX 77708

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 1609980523. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider is doing business as Mcanelly Living Centers.

Where is Golden Triangle Living Centers Inc located?

Golden Triangle Living Centers Inc is located at 5125 Mcanelly Dr, Beaumont, TX 77708. The listed phone number is (409) 899-1673.

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 45D2111709) 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 with the weekly NPPES data releases published by CMS.