Shore Direct Care, LLC.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SHORE DIRECT CARE, LLC.

Practice address

514 S 4TH Ave
Galloway, NJ 08205-9503

Phone

(609) 271-2040

NPI assigned

May 27, 2020

Organization subpart

No

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

Authorized official

Name

Michael JohnsonNPI 1881071314

Title

President

Phone

(609) 271-2040

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michael Johnson

  • Case Manager/Care Coordinator
  • Absecon, NJ
  • NPI 1881071314
  NPD Authorized official

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1336762111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082010601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S 4TH AVE",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059503",
            "telephone_number": "609-271-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE DIRECT CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-271-2040"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Shakarshy, MD
• Sharon Carroccia LCSW, LLC
• Victoria Sheeran
• Brandi Lynn Sheridan, MSW, LCSW
• Michael Edward Sheridan, MS,RD
• Shore Oral and Maxillofacial Surgery, LLC
• Shore Orthopedic University Associates PA
• Shore Therapy
• Mary C Sibson, LCSW
• Joseph Louis Simmons, OTR

• Case Management Agency in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.