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Shalom Living Center

NPI 1457663635ActiveOrganization· Preferred Provider Organization· Beaumont, TX

Preferred Provider Organization in Beaumont, Texas, registered in NPPES in July 2010. The authorized official on file is Matilda Rena Sanders, Owner.

Overview

NPI1457663635
StatusActive
Entity typeOrganization
NPI issuedJul 5, 2010
Last updated in NPPESJul 5, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Preferred Provider Organization providers in Beaumont

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