Shalom Health Care Management LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SHALOM HEALTH CARE MANAGEMENT LLC

Practice address

950 Washington Blvd
Beaumont, TX 77705-2251

Phone

(409) 402-0169

Fax

(409) 600-2869

NPI assigned

Nov 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abraham Nabil

Title

Owner

Phone

(713) 705-3490

Specialties & licenses 2

Addresses

Other names 1

• Revive Recovery Center of Beaumont Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roussel Clement, MD

  • Internal Medicine Physician
  • Groves, TX
  • NPI 1710977913
  Medicare reassignment NPD
• Safa Rubaye, MD

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1194143859
  Medicare reassignment NPD
• Umar Saeed, MD

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1972519544
  Medicare reassignment NPD
• Jason Osei Mensah, D.O.

  • Psychiatry Physician
  • Beaumont, TX
  • NPI 1619137593
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1083324404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DAIRY ASHFORD RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773858",
            "telephone_number": "409-402-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WASHINGTON BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777052251",
            "telephone_number": "409-402-0169",
            "fax_number": "409-600-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HEALTH CARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "NABIL",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-705-3490"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Recovery Center of Beaumont",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revive Recovery Center of Beaumont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abhijay Shah, MD
• Ankit A Shah, PHAMD
• Ankitkumar N Shah, M.D.
• Muhammad Huzaifa Shahid, M.D.
• Zakir Husain Shaik, MD
• Shalom Living Center
• Shalom Living Center LLC
• Shama P Quraishi MD PLLC
• Shan T Guillory Counseling Group
• Debbie Shane

• Substance Abuse Rehabilitation Facility in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.