Shoreline Healthcare Group LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SHORELINE HEALTHCARE GROUP LLC

Practice address

848 Granby St Ste 205
Norfolk, VA 23510-2009

Phone

(757) 904-3490

Fax

(757) 937-0341

NPI assigned

Sep 3, 2019

Last updated

Jan 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelli ReidNPI 1629907316

Title

Manager

Phone

(757) 904-3490

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelli Reid

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1629907316
  NPD Authorized official

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1356999353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 LYNNHAVEN PKWY STE 106-412",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561497",
            "telephone_number": "757-904-3490",
            "fax_number": "757-937-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 GRANBY ST STE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102009",
            "telephone_number": "757-904-3490",
            "fax_number": "757-937-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-904-3490"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shorelinehealthcaregroup@gmail.com",
            "affiliation": "N",
            "address_1": "2085 Lynnhaven Pkwy # 106-412",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234561497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shorelinehealthcaregroup@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2085 Lynnhaven Pkwy # 106-412",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234561497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melanie Shoemaker, MD
• Kyrie L Shomaker, MD
• Jamil Shoot, AEMP, LAC, LMT
• Shore Drive Home Health LLC
• Shoreline Anesthesia
• Kaitlin Shotts
• Damon Jamal Showers, RBT
• Sarah Ashley Shrader, PMHNP
• Michael Shroyer, M.D.
• Charles E. Shuff, MD

• 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 28, 2020; 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.