SHALOM HEALTH CARE MANAGEMENT LLC
NPI 1083324404
Substance Abuse Rehabilitation Facility in Beaumont, TX
About Shalom Health Care Management Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHALOM HEALTH CARE MANAGEMENT LLC (NPI 1083324404), doing business as Revive Recovery Center Of Beaumont, is a healthcare organization registered as a substance abuse rehabilitation facility in Beaumont, Texas and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Abraham Nabil, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shalom Health Care Management Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Shalom Health Care Management LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2291051
Shalom Health Care Management LLC Dba Revive Recovery Center Of Beaumont · Beaumont, TXFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shalom Health Care Management LLC's NPI number?
The NPI number for Shalom Health Care Management LLC is 1083324404. It was assigned to this organization in the NPPES registry on November 28, 2022. The provider is doing business as Revive Recovery Center of Beaumont.
Where is Shalom Health Care Management LLC located?
Shalom Health Care Management LLC is located at 950 Washington Blvd, Beaumont, TX 77705. The listed phone number is (409) 402-0169.
What is Shalom Health Care Management LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Is Shalom Health Care Management LLC enrolled in Medicare?
Yes. Shalom Health Care Management LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shalom Health Care Management LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Shalom Health Care Management LLC, in Family Practice, Internal Medicine, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Shalom Health Care Management LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2291051) is associated with this NPI, valid through October 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Shalom Health Care Management LLC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Shalom Health Care Management LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shalom Health Care Management LLC was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shalom Health Care Management Llc · NPI 1083324404
Substance Abuse Rehabilitation Facility organization in Beaumont, Texas. Organization record, active in the CMS NPPES registry since November 28, 2022.
## Identity
- **NPI:** 1083324404 (Entity type: Organization)
- **Enumerated:** November 28, 2022
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Also known as:** Revive Recovery Center of Beaumont (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Abraham Nabil, OWNER
## Practice location
- **Address:** 950 WASHINGTON BLVD, Beaumont, TX 77705-2251
- **Phone:** (409) 402-0169 · **Fax:** (409) 600-2869
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Psychiatry (2), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083324404) · Data from the CMS NPPES public registry.