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MCANNELLY COMMUNITY HOME
NPI 1720203045
Intermediate Care Facility, Intellectual Disabilities in Beaumont, TX

Active since April 13, 2007
5125 MCANELLY DR, BEAUMONT, TX 77708(409) 832-4112 Get Directions Write a Review

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

About Mcannelly Community Home NPPES

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

MCANNELLY COMMUNITY HOME (NPI 1720203045) 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

NPI1720203045
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameGOLDEN TRIANGLE LIVING CENTERS, INC.
Location Address5125 MCANELLY DRBeaumont, TX 77708-1901
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 1720203045 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.
5125 MCANELLY DR, Beaumont, TX 77708
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Other Names 1

Doing Business AsMcannelly Community Home

Other Identifiers 1

Medicaid0040140145TX

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
5125 MCANELLY DR
BEAUMONT, TX 77708
Jefferson County (409) 832-4112
GOLDEN TRIANGLE LIVING CENTERS INC
Intermediate Care Facility, Intellectual Disabilities
5125 MCANELLY DR
BEAUMONT, TX 77708
Jefferson County (409) 899-1673
DUNGARVIN TEXAS, LLC
Intermediate Care Facility, Intellectual Disabilities
5125 MCANELLY DR
BEAUMONT, TX 77708
Jefferson County (409) 899-1673

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 1720203045. It was assigned to this organization in the NPPES registry on April 13, 2007. The provider is doing business as Mcannelly Community Home.

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) 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 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.