OrganizationActive
Shalom Living Center LLC
NPI 1255043683 · Contractor · Beaumont, TX
Provider details
- NPI number
- 1255043683
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Matilda Sanders, Owner(409) 658-4662
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4895 Garwood Ln
Beaumont, TX 77706-2736
Phone: (409) 658-4662
Street-level locationGet directions
Mailing address
4895 Garwood Ln
Beaumont, TX 77706-2736
Other names (DBA / former)
- Other name
- Shalom Living Center
Registry dates
- Enumerated
- 2022-12-16
- Last updated
- 2022-12-16
- Certified
- 2022-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.