Shore Facility Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1499095 Issued in FL

Legal business name

SHORE FACILITY INC

Practice address

4500 Indianapolis St NE
St Petersburg, FL 33703-4317

Phone

(727) 209-4600

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bleich

Title

Authorized Representative

Phone

(845) 641-8314

Specialties & licenses 1

Addresses

Other names 1

• Shore Acres Care Center Doing business as

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1174900302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 INDIANAPOLIS ST NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034317",
            "telephone_number": "727-209-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "BLEICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "845-641-8314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1499095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Acres Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Deneen Shook, D.C.
• Aaron Shoopak, D.M.D.
• Alan David Shoopak, D.M.D.,P.A.
• Anna Shoopak, D.M.D.
• Shore Acres Nursing and Rehab LLC
• Shoreline Counselor
• Shoreline Psychological Services, LLC
• Margaret Short
• Melanie Elenora Short, DC
• Richard Lester Short III, D.O.

• Skilled Nursing Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.