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LOOP ROAD LIVING CENTER
NPI 1982718805
Intermediate Care Facility, Intellectual Disabilities in Beaumont, TX

Active since August 18, 2006
11510 LOOP ROAD, BEAUMONT, TX 77713(409) 892-1673(409) 832-8044 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Loop Road Living Center NPPES

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

LOOP ROAD LIVING CENTER (NPI 1982718805) 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 lists Jerrine B Harrell, President, as its authorized official.

NPPES Registry Identity

NPI1982718805
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameGOLDEN TRIANGLE LIVING CENTERS INC
Location Address11510 LOOP ROADBeaumont, TX 77713
Mailing Address2750 South 4th StreetBeaumont, TX 77701-7912 · (409) 832-4112 · Fax (409) 832-8044
Phone(409) 892-1673
Fax(409) 832-8044
Organization SubpartNo
Authorized OfficialJerrine B HarrellPresident · (318) 445-6470
Enumeration DateAugust 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1982718805 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 · 116983
Definition

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

11510 LOOP ROAD, Beaumont, TX 77713
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Other Names 1

Doing Business AsLoop Road Living Center

Other Identifiers 1

Medicaid45G830TX

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 1982718805. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider is doing business as Loop Road Living Center.

Where is Golden Triangle Living Centers Inc located?

Golden Triangle Living Centers Inc is located at 11510 Loop Road, Beaumont, TX 77713. The listed phone number is (409) 892-1673.

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.

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.