SHORELINE, INC. (NPI# 1962559252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962559252 |
| Entity Type | Organization |
| Organization Name | SHORELINE, INC. |
| Practice Address |
1220 Gregory St. Taft TX 78390-3044 |
| Mailing Address |
1220 Gregory St Taft TX 78390-3044 |
| Practice Telephone | 3615283356 |
| Practice Fax Number | 3615283249 |
| Mailing Telephone | 3615283356 |
| Mailing Fax Number | 3615283249 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | EDDIE UNDERWOOD (VICE PRESIDENT) |
| Authorized Official Telephone | 3615283356 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
481A | TX | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 065220801 | 05 |
| Street Address |
1220 GREGORY ST. |
| City | TAFT |
| State | TX |
| Zip Code | 78390-3044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750409413 | Taft Pharmacy, Inc. | Pharmacy | 213 Meyers, Taft, TX 78390 | 2007-03-27 |
| 1316009277 | Capsule Pharmacy | Pharmacy | 213 Meyer St., Taft, TX 78390 | 2006-12-15 |
| 1700044195 | Charles D Kolb Dds Inc | Dentist | 1210 Gregory St, Ste 3, Taft, TX 78390-0212 | 2008-06-02 |
| 1356530588 | Taft Independent School District | Local Education Agency (LEA) | 400 College St, Taft, TX 78390-2702 | 2007-10-24 |
| 1982776209 | Larry Strickland | Pharmacist | 225 Green Ave, Taft, TX 78390-2705 | 2006-11-14 |
| 1871570119 | Kim A. Polasek | Physical Therapist | 202 Green Ave, Taft, TX 78390-2706 | 2005-12-28 |
| 1275840183 | Kim Polasek Lpt PC | Physical Therapist | 202 Green Ave, Taft, TX 78390-2706 | 2010-09-13 |
| 1174505986 | Taft Vems, Inc | Ambulance | 331 Green Ave, Taft, TX 78390-2707 | 2005-11-17 |
| 1912234709 | City of Taft | Ambulance | 501 Green Ave, Taft, TX 78390-2711 | 2009-11-16 |
| 1871898429 | Jose Benamu M.d. P.a. | Internal Medicine | 1155 Gregory St, Taft, TX 78390-3015 | 2011-01-12 |
| Find all providers in zip 78390 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093841 | Grace Outreach | Substance Abuse Rehabilitation Facility | 3225 Turtle Creek Blvd, Dallas, TX 75219-5409 | 2019-03-21 |
| 1770086290 | New Beginnings Substance Abuse Services, Inc | Substance Abuse Rehabilitation Facility | 200 E Interstate 2 Ste O, Pharr, TX 78577-6506 | 2018-03-11 |
| 1316322498 | Lt Medical Transport, LLC | Substance Abuse Rehabilitation Facility | 2516 Vaughn St, Houston, TX 77093-8608 | 2015-07-30 |
| 1013397892 | Idea Youth Success Center | Substance Abuse Rehabilitation Facility | 1518 Vaughn Blvd, Fort Worth, TX 76105-2307 | 2015-06-05 |
| 1225362338 | Shamar Hope Haven Residential Treatment Center | Substance Abuse Rehabilitation Facility | 2719 Truxillo St, Houston, TX 77004-5455 | 2009-09-22 |
| 1184892861 | Santus Healing Hands Adolescent Treatment Center | Substance Abuse Rehabilitation Facility | 14402 Minetta St, Houston, TX 77035-6522 | 2008-02-14 |
| 1386822542 | Added Incentive | Substance Abuse Rehabilitation Facility | 7146 Highway 60, Wallis, TX 77485-9507 | 2008-02-08 |
| 1598944902 | Law Academy, Inc. | Substance Abuse Rehabilitation Facility | 1909 Jefferson Dr, Port Arthur, TX 77642-1845 | 2007-11-01 |
| 1760661946 | Baxmart LLC | Substance Abuse Rehabilitation Facility | 2245 N Main St, Suite 2, Pearland, TX 77581-4144 | 2007-10-24 |
| 1578768776 | Groth Recovery Alliance | Substance Abuse Rehabilitation Facility | 466 County Road 2119, Pittsburg, TX 75686-3686 | 2007-06-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.