Active NPI
Renal Center of West Beaumont, LLC
Doing business as Golden Triangle Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Beaumont, TX
National Provider Identifier
1356610844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RENAL CENTER OF WEST BEAUMONT, LLC
- Doing business as
- Golden Triangle Dialysis
- Practice address
- 1020 North 14TH Street
Beaumont, TX 77707-1103 - Phone
- (409) 832-8423
- Fax
- (409) 832-8431
- NPI assigned
- Dec 29, 2011
- Last updated
- Oct 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel T Wey
- Title
- VP Licensure&Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1020 North 14TH Street
Beaumont, TX 77707-1103
Mailing address
5200 Virginia Way
L&C Department
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305689701 | Medicaid | TX |
Other names 1
- GOLDEN TRIANGLE DIALYSIS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120119000205 | TX | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1254508047 | Practice locations: Beaumont, TX |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Golden Triangle Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Sep 1, 1977
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 33
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba South Broad Street Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Philadelphia, PA
- NPI 1104095041
Member Of
Locations
3965 Phelan Blvd
Ste 200
Beaumont, TX 77707
Phone (409) 832-8423
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1356610844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPARTMENT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 NORTH 14TH STREET",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777071103",
"telephone_number": "409-832-8423",
"fax_number": "409-832-8431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL CENTER OF WEST BEAUMONT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-29",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP LICENSURE&CERTIFICATION",
"authorized_official_telephone_number": "615-341-6641"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305689701",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GOLDEN TRIANGLE DIALYSIS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaumont, TX
- Antonio Remirez, M.D.
- Juan P Remirez, M.D.
- Min Ren
- Renal Care Group-Beaumont, L.P. (RCG Beaumont)
- Renal Center of Beaumont, LLC
- Amanda Minick Reneau, APN
- Renewpath Community Support Services LLC (Pathways II Success LLC.)
- Resilient Path Counseling & Therapy PLLC
- Retail Investors of Texas, LTD. (Market Basket Pharmacies)
- Retail Investors of Texas, LTD. (Market Basket Pharmacy #47)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.