Shore Drive Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SHORE DRIVE HOME HEALTH LLC

Practice address

854 Granby Street
Norfolk, VA 23510

Phone

(757) 839-8157

NPI assigned

Jan 21, 2022

Organization subpart

No

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

Authorized official

Name

Carl Lee Martin

Title

Manager

Phone

(757) 839-8157

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1083366918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1306",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235011306",
            "telephone_number": "757-839-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 GRANBY STREET",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23510",
            "telephone_number": "757-839-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE DRIVE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-839-8157"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walker Shivar, DDS
• Amanda Katheryn Shockey, RN, ATC
• Melanie Shoemaker, MD
• Kyrie L Shomaker, MD
• Jamil Shoot, AEMP, LAC, LMT
• Shoreline Anesthesia
• Shoreline Healthcare Group LLC
• Kaitlin Shotts
• Damon Jamal Showers, RBT
• Sarah Ashley Shrader, PMHNP

• Home Health Agency in Norfolk, VA
• Providers in Norfolk, 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 Jan 21, 2022; 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.