SHALOM CENTER, INC. (NPI# 1194063875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194063875 |
| Entity Type | Organization |
| Organization Name | SHALOM CENTER, INC. |
| Practice Address |
13516 Morgan Dr Splendora TX 77372-3121 |
| Practice Telephone | 2813990520 |
| Practice Fax Number | 2813993366 |
| Mailing Telephone | 2813990520 |
| Mailing Fax Number | 2813993366 |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |
| Authorized Official Name | MR. DANIEL A. KIDD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2813990520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
13516 MORGAN DR |
| City | SPLENDORA |
| State | TX |
| Zip Code | 77372-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275980500 | Les Williams | Adult Companion | 26275 E Christine Dr, Splendora, TX 77372-3316 | 2016-05-17 |
| 1801243142 | Hands of Love Inc. | In Home Supportive Care | 26275 E Christine Dr, Splendora, TX 77372-3316 | 2016-05-17 |
| 1790250058 | Mary Villarreal | Licensed Practical Nurse | 24715 Marks Rd, Splendora, TX 77372-3414 | 2018-10-12 |
| 1679603328 | Travis Alan Jones | Specialist/Technologist | 23747 Fm 2090 Rd, Splendora, TX 77372-3733 | 2007-03-06 |
| 1932210234 | Rajasekaran Annamalai | Internal Medicine | 16401 1st St, Ste 200, Splendora, TX 77372-4026 | 2006-08-31 |
| 1780816611 | Timiki A Richard | Nurse Practitioner | 16401 1st St, Splendora, TX 77372-4026 | 2009-08-11 |
| 1588806145 | Jessica A Laabs | Physician Assistant | 16401 1st St, Splendora, TX 77372-4026 | 2009-03-29 |
| 1821573312 | Jessica Rivera Pantoja | Registered Nurse | 13226 11th St, Splendora, TX 77372-4105 | 2018-10-01 |
| 1346695897 | Patient Care Global Inc | Case Management | 921 County Road 3704b, Splendora, TX 77372-4186 | 2016-05-03 |
| 1609358951 | Trista Frances Martin | Licensed Vocational Nurse | 27949 Southland Dr, Splendora, TX 77372-4422 | 2018-09-04 |
| Find all providers in zip 77372 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778410 | Inspired Community Living | Community Based Residential Treatment Facility, Mental Illness | 1108 Millspaugh St, San Angelo, TX 76901-2342 | 2020-07-27 |
| 1265058143 | Bam House | Community Based Residential Treatment Facility, Mental Illness | 9710 Military Pkwy Apt 136, Dallas, TX 75227-4801 | 2020-06-17 |
| 1699394320 | Thaddeus Gibson | Community Based Residential Treatment Facility, Mental Illness | 15638 Western Skies Dr, Houston, TX 77086-1169 | 2020-04-13 |
| 1346875705 | Grace Caring Angels Inc. | Community Based Residential Treatment Facility, Mental Illness | 11515 Chariot Dr, Stafford, TX 77477-1214 | 2020-03-05 |
| 1992340541 | Abegail Human Services | Community Based Residential Treatment Facility, Mental Illness | 230 Hackney Dr, Waxahachie, TX 75165-1202 | 2019-11-07 |
| 1073098075 | Expert Living Services Inc | Community Based Residential Treatment Facility, Mental Illness | 17014 Blue Mist Dr, Sugar Land, TX 77498-1957 | 2018-09-26 |
| 1760961734 | Sharion Lenese White | Community Based Residential Treatment Facility, Mental Illness | 12514 Berry Laurel Lane, Houston, TX 77014 | 2018-08-10 |
| 1356837934 | X'zavier O Payne | Community Based Residential Treatment Facility, Mental Illness | 420 N State Highway 360 Apt 2214, Mansfield, TX 76063-8716 | 2018-07-06 |
| 1972003192 | Ateam & Associates, LLC | Community Based Residential Treatment Facility, Mental Illness | 7 Supiro Dr, Manvel, TX 77578-3378 | 2018-02-14 |
| 1891234134 | Graceland Personal Care Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 2625 County Road 302, Carthage, TX 75633-4103 | 2017-02-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.