Shi-III Coram LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

SHI-III CORAM LLC

Doing business as

All American Assisted Living at Coram

Practice address

463 Middle Country Rd
Coram, NY 11727-3758

Phone

(631) 997-0010

NPI assigned

Sep 20, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Dioguardi

Title

Coo/Cfo

Phone

(516) 496-1505

Specialties & licenses 1

Addresses

Other names 1

• All American Assisted Living at Coram Doing business as

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1801566872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SHI-III CORAM, LLC C/O KAPLAN DEVELOPMENT GROUP",
            "address_2": "100 JERICHO QUADRANGLE, SUITE 142",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "11753",
            "telephone_number": "516-496-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 MIDDLE COUNTRY RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273758",
            "telephone_number": "631-997-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHI-III CORAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "DIOGUARDI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "516-496-1505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All American Assisted Living at Coram",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Anne Scovetta
• Alexis Monique Sealy
• Sherine Lee Sedigh
• Zarie Sedigh, LCSW
• Laura Semisa, SLP
• Muhammad Umaid Siddiqui, MD
• Santana Linda Siegel, LPN
• Jennifer Willa Siegfried
• Jeannine Frances Signorelli
• Sarah Sikand, PA-C

• Alzheimer Center (Dementia Center) in Coram, NY
• Providers in Coram, NY by specialty
• Alzheimer Center (Dementia Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.