Organization
PELICAN ASSISTED LIVING LLC
Active
Other names
Pelican Bay
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W. MOORE SR. (PRESIDENT)
(409) 962-4450
Entity
Organization
Contact information
Practice address
2501 S MAJOR DR, BEAUMONT, TX 77707-5018
(409) 860-3500
(409) 962-9253
Mailing address
4500 MAIN AVE, GROVES, TX 77619-4712
(409) 962-4450
(409) 962-9253
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32044376872
TEXAS COMPTROLLER OF PUBLIC ACCOUNTS TAXPAYER NUMBER
TX
Enumeration date
03/09/2012
Last updated
06/20/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up