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NPI Code Detail

MEDICARE: SHORROCK GARDENS CARE CENTER, INC.

MEDICARE: SHORROCK GARDENS CARE CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility65A004NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174925572
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHORROCK GARDENS CARE CENTER, INC.
Provider Business Mailing Address
First Line : 1730 RTE 37 W
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08757-2345
Country : US
Telephone Number : 732-244-1400
Fax Number : 244-732-4704
Provider Business Practice Location Address
First Line : 75 OLD TOMS RIVER RD
Second Line :
City : BRICK
State : NJ
Zip : 08723-7800
Country : US
Telephone Number : 732-451-1000
Fax Number :
Authorized Official
Title or Position : VP FINANCE
Name : MS. LISA TRIOLA
Credential :
Telephone Number : 732-244-1400
Provider Enumeration Date : 09/17/2014
Last Update Date : 09/17/2014

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