SHALOM LIVING CENTER LLC NPI 1255043683

NPI Information

  • NPI: 1255043683
  • Provider Name: SHALOM LIVING CENTER LLC
  • Classification: Contractor - 171W00000X
  • Entity Type: Organization
  • Other Name: SHALOM LIVING CENTER
  • Address: 4895 GARWOOD LN
    BEAUMONT, TX
    ZIP 77706
  • Phone: (409) 658-4662

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NPI Details

SHALOM LIVING CENTER LLC is a contractor in Beaumont, TX. The provider is for the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status. SHALOM LIVING CENTER LLC NPI is 1255043683. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Shalom Living Center.

The provider's business location address is:

4895 GARWOOD LN
BEAUMONT, TX
ZIP 77706-736
Phone: (409) 658-4662

The provider's authorized official is Matilda Sanders .
The authorized official title is Owner and has the following contact phone number (409) 658-4662.

The enumeration date for this NPI number is 12/16/2022 and was last updated on 12/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171W00000XContractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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