MEDICARE: LOCKE LIVING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1659222875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOCKE LIVING SERVICES LLC

Provider Business Mailing Address
First Line	:	8230 STACY
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77705-9621
Country	:	US
Telephone Number	:	409-454-7296
Fax Number	:

Provider Business Practice Location Address
First Line	:	1680 AVENUE B
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77701-6961
Country	:	US
Telephone Number	:	409-454-7296
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JAMES LOCKE
Credential	:
Telephone Number	:	409-454-7296

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “LOCKE LIVING SERVICES LLC ” Practice Location

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