Organization Active NPI

Shiv Enterprise Group LLC

  • In Home Supportive Care Agency
  • Myrtle Beach, SC
National Provider Identifier
1447705751
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHCP0599 Issued in SC
Legal business name
SHIV ENTERPRISE GROUP LLC
Doing business as
GRAND STRAND COMFORT CARE
Practice address
2411 N Oak St
105-B
Myrtle Beach, SC 29577-3173
Phone
(732) 522-3724
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Mr. Nitin Shah
Title
President
Phone
(732) 522-3724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X IHCP0599 SC Primary

Addresses

Primary practice location

2411 N Oak St
105-B
Myrtle Beach, SC 29577-3173

Mailing address

2411 N Oak St
105-B
Myrtle Beach, SC 29577-3173
Phone (732) 522-3724

Other names 1

  • GRAND STRAND COMFORT CARE Doing business as

National Provider Directory

National Provider Directory

Locations

2411 N Oak St
#105B
Myrtle Beach, SC 29577
Phone (732) 522-3724

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1447705751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 N OAK ST",
            "address_2": "105-B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773173",
            "telephone_number": "732-522-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 N OAK ST",
            "address_2": "105-B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773173",
            "telephone_number": "732-522-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIV ENTERPRISE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NITIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-522-3724",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP0599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND STRAND COMFORT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.