Organization Active NPI

Shoreline Consultation Services

  • Case Management Agency
  • Muskegon, MI
National Provider Identifier
1548272586
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
610042 Issued in MI
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Mr. Mark E. Rankin, LMSWNPI 1770741308
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
610042OtherMISUBSTANCE ABUSE LICENSE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.