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SHALOM HEALTH CARE MANAGEMENT LLC
NPI 1083324404
Substance Abuse Rehabilitation Facility in Beaumont, TX

Active since November 28, 2022CLIA 45D2291051 · Waiver
950 WASHINGTON BLVD, BEAUMONT, TX 77705(409) 402-0169(409) 600-2869 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2025, Aug 28, 2023, Nov 28, 2022 (3 updates tracked since 2022).

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

NPI1083324404
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSHALOM HEALTH CARE MANAGEMENT LLC
Location Address950 WASHINGTON BLVDBeaumont, TX 77705-2251
Mailing Address1500 S Dairy Ashford Rd Ste 200Houston, TX 77077-3858 · (409) 402-0169
Phone(409) 402-0169
Fax(409) 600-2869
Organization SubpartNo
Authorized OfficialAbraham NabilOwner · (713) 705-3490
Enumeration DateNovember 28, 2022
Last NPPES UpdateMay 16, 20253 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1083324404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
950 WASHINGTON BLVD, Beaumont, TX 77705
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Other Names 1

Doing Business AsRevive Recovery Center Of Beaumont

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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, TX
Active · expires Oct 3, 2027
CLIA Number45D2291051
Laboratory TypeChemical Dependency Treat
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorMohsin Qayyum
Laboratory Phone(281) 208-7414
Laboratory LocationShalom Health Care Management LLC Dba Revive Recovery Center Of Beaumont950 Washington Blvd, Beaumont, TX 77705
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIE LE BLANC RN
Registered Nurse
950 WASHINGTON BLVD
BEAUMONT, TX 77705
Jefferson County (409) 833-3826
SHEILA S JORDAN CNM
Advanced Practice Midwife
950 WASHINGTON BLVD
BEAUMONT, TX 77705
Jefferson County (409) 772-2222
UTMB REGIONAL MATERNAL AND CHILD HEALTH PROGRAM
Clinic/Center (Family Planning, Non-Surgical)
950 WASHINGTON BLVD
BEAUMONT, TX 77705
Jefferson County (409) 833-3826
MRS. LINDSAY COLEMAN FNP-C
Nurse Practitioner (Family)
950 WASHINGTON BLVD
BEAUMONT, TX 77705
Jefferson County (409) 554-8060
KATHRYN C MOFF FNPC
Nurse Practitioner (Family)
950 WASHINGTON BLVD
BEAUMONT, TX 77705
Jefferson County (409) 833-1353
DEBORAH LYNNE BROWN WHCNP
Nurse Practitioner (Women's Health)
950 WASHINGTON BLVD
BEAUMONT, TX 77705
Jefferson County (409) 833-3826
UTMB FACULTY GROUP PRACTICE
Clinic/Center (Multi-Specialty)
950 WASHINGTON BLVD
BEAUMONT, TX 77705
Jefferson County (409) 833-3826
CHRISTINA GARCIA FNP-C
Nurse Practitioner (Family)
950 WASHINGTON BLVD
BEAUMONT, TX 77705
Jefferson County (409) 833-3826

Frequently 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.

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 6 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 15 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.