Organization Active NPI

Shi-IV SHD Tinton Falls, NJ

  • Assisted Living Facility
  • Tinton Falls, NJ
National Provider Identifier
1124817531
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHI-IV SHD TINTON FALLS, NJ
Practice address
1530 West Park Ave
Tinton Falls, NJ 07712
Phone
(732) 587-5400
Fax
(732) 587-5400
NPI assigned
May 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Andrew Kahane, LNHA
Title
Executive Director
Phone
(732) 587-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1530 West Park Ave
Tinton Falls, NJ 07712

Mailing address

366 N Broadway Ste 307
Jericho, NY 11753-2000
Phone (732) 587-5400

Other names 1

  • All American @ Tinton Falls Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2302146Shi-IV SHD Tinton Falls1530 West Park Ave, Tinton Falls, NJ 07712Certificate of waiverApr 3, 2028

National Provider Directory

National Provider Directory

Locations

366 N Broadway
Ste 307
Jericho, NY 11753

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1124817531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 N BROADWAY STE 307",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532000",
            "telephone_number": "732-587-5400",
            "fax_number": "732-587-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 WEST PARK AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07712",
            "telephone_number": "732-587-5400",
            "fax_number": "732-587-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHI-IV SHD TINTON FALLS, NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "KAHANE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-587-5400",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All American @ Tinton Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.