Organization Active NPI

Shi-III Washington Township LLC

  • Assisted Living Facility
  • Washington Township, NJ
National Provider Identifier
1477018752
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHI-III WASHINGTON TOWNSHIP LLC
Practice address
339 Greentree Road
Washington Township, NJ 08080
Phone
(856) 553-6694
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Mr. Raymond Dioguardi
Title
Coo/Cfo
Phone
(516) 496-1505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

339 Greentree Road
Washington Township, NJ 08080

Mailing address

100 Jericho Quadrangle Ste 142
Jericho, NY 11753-2702
Phone (516) 496-1505

Other names 1

  • All American Assisted Living at Washington Township 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
31D2196006All American Assisted Living at Washington339 Greentree Road, Sewell, NJ 08080Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1477018752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JERICHO QUADRANGLE STE 142",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532702",
            "telephone_number": "516-496-1505",
            "fax_number": "516-496-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 GREENTREE ROAD",
            "city": "WASHINGTON TOWNSHIP",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "856-553-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHI-III WASHINGTON TOWNSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "DIOGUARDI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "516-496-1505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All American Assisted Living at Washington Township",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.