Developmental Disabilities Management Services of Beaumont, LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Beaumont, TX
NPI 1194122093 · NPPES record last updated Mar 5, 2023
Key facts
- NPI
- 1194122093
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC
- Practice address
- 11510 Loop Rd
Beaumont, TX 77713-8664 - Phone
- (409) 832-4112
- NPI assigned
- Nov 21, 2014
- Organization subpart
- No
Authorized official
- Name
- Brett Ian Cohen III
- Title
- Coo
- Phone
- (800) 388-5150
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Developmental Disabilities Management Services of Beaumont LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | TX | Yes |
Addresses
Primary practice location
11510 Loop Rd
Beaumont, TX 77713-8664
Mailing address
313 Congress St FL 5
Boston, MA 02210-1218
Phone (800) 388-5150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APPLIED FOR | Medicaid | TX |
Other providers in Beaumont, TX
- Aimee Desilet Weissmann
- Desiree Rice, Inc.
- Prasad Devabhaktuni
- Sheila Dian Devaugh
- Developmental Disabilities Management Services of Beaumont, LLC
- Developmental Disabilities Management Services of Beaumont, LLC
- Developmental Disabilities Management Services of Beaumont, LLC
- Developmental Disabilities Management Services of Beaumont, LLC
- Developmental Disabilities Management Services of Beaumont, LLC
- Developmental Disabilities Management Services of Beaumont, LLC
All providers in Beaumont, TX · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.