NPIMap

Organization Active NPI

Golden Triangle Living Center, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Silsbee, TX
National Provider Identifier
1780908103
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
GOLDEN TRIANGLE LIVING CENTER, INC
Practice address
1020 Roosevelt Dr
Silsbee, TX 77656-3408
Phone
(409) 385-3723
NPI assigned
Mar 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Mr. James E Richardson
Title
Ceo
Phone
(318) 445-6470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1020 Roosevelt Dr
Silsbee, TX 77656-3408

Mailing address

2750 S 4TH St
Beaumont, TX 77701-7912
Phone (409) 832-4112

Other identifiers 1

IdentifierTypeStateIssuer
0000I8H4SMedicaidTX

Other names 1

  • Roosevelt Community Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Golden Triangle Living Centers Inc34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1780908103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S 4TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777017912",
            "telephone_number": "409-832-4112",
            "fax_number": "318-641-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 ROOSEVELT DR",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776563408",
            "telephone_number": "409-385-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRIANGLE LIVING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-445-6470",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000I8H4S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roosevelt Community Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silsbee, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.