Shoreline, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SHORELINE, INC.

Practice address

1220 Gregory St.
Taft, TX 78390-3044

Phone

(361) 528-3356

Fax

(361) 528-3249

NPI assigned

Jan 5, 2007

Last updated

Jul 7, 2023By 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

Mark Jackson

Title

Ceo

Phone

(361) 528-3356

Specialties & licenses 3

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Evangelino G Pangilinan, MD

  • Psychiatry Physician
  • Harlingen, TX
  • NPI 1487614244
  NPD (past)
• Ryan Craig Smith, M.D.

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1659739399

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1962559252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 GREGORY ST",
            "city": "TAFT",
            "state": "TX",
            "postal_code": "783903044",
            "telephone_number": "361-528-3356",
            "fax_number": "361-528-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 GREGORY ST.",
            "city": "TAFT",
            "state": "TX",
            "postal_code": "783903044",
            "telephone_number": "361-528-3356",
            "fax_number": "361-528-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-07-07",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-528-3356"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "TX",
            "license": "481A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065220801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Douglas Kolb, D.D.S.
• Jonathan Charles Kolb, D.D.S.
• Rachael Marie Loudon-Castillo, FNP-C
• Kim A. Polasek, P.T.
• Rural Health Solutions PA (Taft Family Health Clinic)
• Smith Physical Therapy & Wellness, P.C.
• Kobi Smith
• Leann Kolb Snody, D.D.S.
• South Padre Island Pediatric Center PA
• Larry Strickland

• Substance Use Disorder Rehabilitation Clinic/Center in Taft, TX
• Providers in Taft, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.