Seacrest Village

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NJ61522 Issued in NJ

Legal business name

SEACREST VILLAGE

Practice address

1001 Center St
Little Egg Harbor TWP, NJ 08087-1347

Phone

(609) 296-9292

NPI assigned

Apr 17, 2014

Last updated

Apr 17, 2014By 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

Brian Holloway

Title

President

Phone

(609) 296-9292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1609296656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7461 CEDAR ST",
            "city": "AKRON",
            "state": "NY",
            "postal_code": "140019676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CENTER ST",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080871347",
            "telephone_number": "609-296-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACREST VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-296-9292"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "NJ61522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of New Jersey Inc (Rite Aid Pharmacy 02530)
• Todd J Rossi, RPH
• Kimberly Sand, MPT
• Seacrest Assisted Living LLC (The Terraces at Seacrest Village)
• Seacrest Operator, LLC (Seacrest Rehabilitation and Healthcare Center)
• Seacrest Village Adult Day Care
• Seacrest Village, Inc
• Leigh A Seeley
• Yvette Sari Shaber, RPH
• Shirley M Shaffery, BSN

• Skilled Nursing Facility in Little Egg Harbor TWP, NJ
• Providers in Little Egg Harbor TWP, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.