SHI-IV SHD TINTON FALLS, NJ
NPI 1124817531
Assisted Living Facility in Tinton Falls, NJ

Active since May 02, 2025CLIA 31D2302146 · Waiver
1530 WEST PARK AVE, TINTON FALLS, NJ 07712(732) 587-5400(732) 587-5400 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shi-iv Shd Tinton Falls, Nj NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHI-IV SHD TINTON FALLS, NJ (NPI 1124817531), doing business as All American @ Tinton Falls, is a healthcare organization registered as an assisted living facility in Tinton Falls, New Jersey and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through April 3, 2028 and lists Andrew Kahane, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124817531
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHI-IV SHD TINTON FALLS, NJ
Location Address1530 WEST PARK AVETinton Falls, NJ 07712
Mailing Address366 N Broadway Ste 307Jericho, NY 11753-2000 · (732) 587-5400 · Fax (732) 587-5400
Fax(732) 587-5400
Organization SubpartNo
Authorized OfficialAndrew KahaneExecutive Director · (732) 587-5400
Enumeration DateMay 2, 2025
NPPES CertifiedMay 2, 2025
NPI 1124817531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1530 WEST PARK AVE, Tinton Falls, NJ 07712

Other Names 1

Doing Business AsAll American @ Tinton Falls

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2302146

Shi-Iv Shd Tinton Falls · Tinton Falls, NJ
Active · expires Apr 3, 2028
CLIA Number31D2302146
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorAlyson Blake
Laboratory Phone(732) 587-5400
Laboratory LocationShi-Iv Shd Tinton Falls1530 West Park Ave, Tinton Falls, NJ 07712
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shi-Iv Shd Tinton Falls, Nj's NPI number?

The NPI number for Shi-Iv Shd Tinton Falls, Nj is 1124817531. It was assigned to this organization in the NPPES registry on May 2, 2025. The provider is doing business as All American @ Tinton Falls.

Where is Shi-Iv Shd Tinton Falls, Nj located?

Shi-Iv Shd Tinton Falls, Nj is located at 1530 West Park Ave, Tinton Falls, NJ 07712. The listed phone number is (732) 587-5400.

What is Shi-Iv Shd Tinton Falls, Nj's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Shi-Iv Shd Tinton Falls, Nj hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2302146) is associated with this NPI, valid through April 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shi-Iv Shd Tinton Falls, Nj was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.