Complete Care at Shorrock Haven, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COMPLETE CARE AT SHORROCK HAVEN, LLC

Practice address

75 Old Toms River Rd
Brick, NJ 08723-7800

Phone

(732) 451-1000

NPI assigned

Aug 22, 2019

Last updated

Feb 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shalom Stein

Title

Owner

Phone

(732) 313-0880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1548817612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BOULEVARD OF AMERICAS",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014585",
            "telephone_number": "732-955-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 OLD TOMS RIVER RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237800",
            "telephone_number": "732-451-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT SHORROCK HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-313-0880"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Options, Inc
• Community Options, Inc
• Community Resource Center Inc.
• Complete Care at Brick LLC
• Complete Care at Laurelton LLC
• Complete Care at Shorrock, LLC
• Complete Competent Care, Inc
• Complexcm LLC
• Concierge Medical LLC
• Lauren Concodora, DPM

• Assisted Living Facility in Brick, NJ
• Providers in Brick, 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 Feb 22, 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.