Active NPI
Shoreline Consultation Services
- Case Management Agency
- Muskegon, MI
National Provider Identifier
1548272586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 610042
- Legal business name
- SHORELINE CONSULTATION SERVICES
- Practice address
- 1435 Peck St
Muskegon, MI 49441-2125 - Phone
- (231) 733-5334
- Fax
- (231) 737-1255
- NPI assigned
- Aug 11, 2006
- Last updated
- May 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark E. Rankin, LMSW
- Title
- Executive Director
- Phone
- (231) 733-5334
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 610042 | MI | Primary |
Addresses
Primary practice location
1435 Peck St
Muskegon, MI 49441-2125
Mailing address
1435 Peck St
Muskegon, MI 49441-2125
Phone (231) 733-5334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610042 | Other | MI | SUBSTANCE ABUSE LICENSE |
National Provider Directory
National Provider DirectoryLocations
1435 Peck St
Muskegon, MI 49441
Phone (231) 722-2713
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community Health Worker
- Muskegon, MI
- NPI 1770741308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212105600000",
"number": "1548272586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 PECK ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412125",
"telephone_number": "231-733-5334",
"fax_number": "231-737-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 PECK ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412125",
"telephone_number": "231-733-5334",
"fax_number": "231-737-1255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORELINE CONSULTATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2008-05-30",
"status": "A",
"authorized_official_last_name": "RANKIN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "231-733-5334",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MI",
"license": "610042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBSTANCE ABUSE LICENSE",
"identifier": "610042",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.