Beaumont Texas LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BEAUMONT TEXAS LLC

Practice address

350 Pine St Ste 301
Beaumont, TX 77701-2437

Phone

(409) 225-5325

NPI assigned

Jan 15, 2025

Organization subpart

No

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

Authorized official

Name

Thomas Travagilo

Title

Owner

Phone

(409) 225-5325

Specialties & licenses 2

Addresses

Other names 1

• Texas Care North Beaumont Doing business as

Locations

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1629889175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PINE ST STE 301",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777012437",
            "telephone_number": "409-225-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINE ST STE 301",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777012437",
            "telephone_number": "409-225-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "TRAVAGILO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-225-5325"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Care North Beaumont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.