GOLDEN TRIANGLE ADULT DAY CARE – NPI #1396157681
Clinic/Center

GOLDEN TRIANGLE ADULT DAY CARE is an AHC clinic located in PORT ARTHUR, TX. NPPES has assigned the NPI number 1396157681 to GOLDEN TRIANGLE ADULT DAY CARE on May 21, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GOLDEN TRIANGLE ADULT DAY CARE” is a dba name, the actual legal business name for this organization is JACK 1 FOUNDATION INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOLDEN TRIANGLE ADULT DAY CARE below.

NPI Profile for
JACK 1 FOUNDATION INC.

NPI Number
1396157681
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACK 1 FOUNDATION INC.
Doing Business As (dba): GOLDEN TRIANGLE ADULT DAY CARE
Primary location
235 PROCTER ST.
PORT ARTHUR, TX 77640
Phone: (409) 984-5720 Fax: (409) 984-5720
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JUDYETTE JACKSON
FOUNDER/DIRECTOR
Phone: (409) 719-7003
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.