SHP VI Centerton Mount Laurel LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHP VI CENTERTON MOUNT LAUREL LLC

Doing business as

Arbor Terrace Mount Laurel

Practice address

785 Centerton Rd
Mount Laurel, NJ 08054-1607

Phone

(856) 367-3006

NPI assigned

Dec 14, 2022

Organization subpart

No

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

Authorized official

Name

Luke Gabay

Title

Vice President

Phone

(404) 704-3789

Specialties & licenses 1

Addresses

Other names 1

• Arbor Terrace Mount Laurel Doing business as

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1487366142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GIRALDA FARMS",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401051",
            "telephone_number": "404-704-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 CENTERTON RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541607",
            "telephone_number": "856-367-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHP VI CENTERTON MOUNT LAUREL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "GABAY",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "404-704-3789"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Terrace Mount Laurel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dianna M Shinkarow, MSN, APRN, NP-C
• Brittany Ann Shinn, BCBA
• Bethany L Shivers, M.S., CCC-SLP
• Rachel Lauren Shmuts, D.O.
• Monica Shore, LCSW
• Laura Shull, SLP
• Michael L Sidor, MD
• Sheila Ann Silver, LCSW
• Devin Scott Simpkins, PHD, LAC, NCC
• Rebecca Simpson

• Assisted Living Facility in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.