MEDICARE: SHORE HELP, LLC

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
1	251E00000X	Home Health Agency	HP0059700	NJ
2	253Z00000X	In Home Supportive Care Agency	HP0059700	NJ

General Provider Information

NPI Number	:	1518372424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHORE HELP, LLC

Provider Business Mailing Address
First Line	:	6601 VENTNOR AVE
Second Line	:	SUITE 16 - TROY AVE BLDG
City	:	VENTNOR CITY
State	:	NJ
Zip	:	08406-2167
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6601 VENTNOR AVE
Second Line	:	SUITE 16 - TROY AVE BLDG
City	:	VENTNOR CITY
State	:	NJ
Zip	:	08406-2167
Country	:	US
Telephone Number	:	609-823-1718
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DREW B KLAITS
Credential	:
Telephone Number	:	609-823-1718

Provider Enumeration Date	:	06/30/2014
Last Update Date	:	06/30/2014

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Directions to “SHORE HELP, LLC ” Practice Location

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