Organization Active NPI

Pinnacle Health Facilities of Texas XI, L.P.

  • Adult Care Home Facility
  • Beaumont, TX
National Provider Identifier
1215090428
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
PINNACLE HEALTH FACILITIES OF TEXAS XI, L.P.
Practice address
4195 Milam St
Beaumont, TX 77707-3918
Phone
(409) 842-4550
Fax
(409) 840-2052
NPI assigned
Dec 18, 2006
Organization subpart
Yes
Parent organization
PINNACLE HEALTH FACILITITES OF TEXAS XI, L.P.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jamie Latture Collier
Title
Director of Reimbursement
Phone
(972) 930-8122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

4195 Milam St
Beaumont, TX 77707-3918

Mailing address

5420 W Plano Pkwy
Plano, TX 75093-4823
Phone (972) 930-8122

Other identifiers 1

IdentifierTypeStateIssuer
001014125MedicaidTX

Other names 1

  • PHP The Oaks at Beaumont Doing business as

National Provider Directory

National Provider Directory
Part of
Pinnacle Health Facilities of Texas XI LP

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1215090428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934823",
            "telephone_number": "972-930-8122",
            "fax_number": "972-930-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 MILAM ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777073918",
            "telephone_number": "409-842-4550",
            "fax_number": "409-840-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTH FACILITIES OF TEXAS XI, L.P.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE HEALTH FACILITITES OF TEXAS XI, L.P.",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LATTURE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "972-930-8122",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014125",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHP The Oaks at Beaumont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.