Shore Home Care Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO 151092 Issued in VA

Legal business name

SHORE HOME CARE AGENCY INC

Practice address

31 N Providence Rd
North Chesterfield, VA 23235-5221

Phone

(804) 323-1731

Fax

(804) 323-1209

NPI assigned

Apr 28, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Monica McMillan

Title

President

Phone

(804) 323-1731

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1013394048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 N PROVIDENCE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355221",
            "telephone_number": "804-323-1731",
            "fax_number": "804-323-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 N PROVIDENCE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355221",
            "telephone_number": "804-323-1731",
            "fax_number": "804-323-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE HOME CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-323-1731"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO 151092",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO151157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171755215",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172742790",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174023660",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel E. J Shields, PA-C
• Jaime Nichole Shill, LPC
• Sojung Shim
• Matthew M Shiomichi, PHYSICAL THERAPIST
• Kenneth Marvin Shirley, LPC
• Shore Home Care Agency, LLC
• Ashley M. Shoultz, FNP
• Abigail Shoun, BCBA
• John J Shumate III, MED, CSAC
• Elizabeth Anna Shurte, LPC

• Home Health Agency in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.