Exceptional H C Beaumont LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

EXCEPTIONAL H C BEAUMONT LLC

Practice address

4755 Eastex Fwy
Beaumont, TX 77706-7115

Phone

(469) 341-7800

Fax

(346) 215-1007

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Saeed S Mahboubi

Title

Cfo

Phone

(469) 341-7800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670224

Legal name

EXCEPTIONAL H C BEAUMONT

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

May 8, 2020

Last certification

May 8, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

4755 Eastex Fwy
Beaumont, TX 77706

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1669020277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067115",
            "telephone_number": "469-341-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067115",
            "telephone_number": "469-341-7800",
            "fax_number": "346-215-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL H C BEAUMONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "MAHBOUBI",
        "authorized_official_first_name": "SAEED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-341-7800"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Evans, FNP
• Ricky Lee Evans, M.D.
• Amy L Everett, MSW
• Amy Evernden, OT
• Exalted Home Care LLC
• Exceptional Physicians Group Beaumont PLLC
• Eye Centers of Southeast Texas LLP
• Eyeglass World
• Eyemart Express LLC
• Eyemart Express, LTD.

• Emergency Care Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.