Pelican Bay

LBN: Pelican Assisted Living Llc
Pelican Bay is an health care organization with primary practice located at 2501 S Major Dr , Beaumont TX 77707-5018. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Pelican Assisted Living Llc can be contacted via phone (409) 860-3500, or through Moore, James W. via phone (409) 962-4450.

Contact Information

Primary practice address
2501 S Major Dr Beaumont TX 77707-5018
Phone: (409) 860-3500
Fax: (409) 962-9253
Website:
Map and Directions
Authorized official contact:
Name: Moore, James W.
Phone: (409) 962-4450

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1861767832
LBN Legal business name Pelican Assisted Living Llc
DBA Doing business as Pelican Bay
Authorized official Moore, James W.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2012
Last updated Jun 20th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861767832 NPPES
Texas Other 32044376872 TEXAS COMPTROLLER OF PUBLIC ACCOUNTS TAXPAYER NUMBER

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