Organization Active NPI

Shaw Healthcare Services LLC

  • Nurse's Aide
  • Braintree, MA
National Provider Identifier
1396450615
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
SHAW HEALTHCARE SERVICES LLC
Practice address
500 Grossman Dr # 1007
Braintree, MA 02184-4953
Phone
(857) 615-6490
NPI assigned
Jan 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Ms. Shineekqua Anita Walker, C.N.ANPI 1104572742
Title
Onwer
Phone
(888) 742-9427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

500 Grossman Dr # 1007
Braintree, MA 02184-4953

Mailing address

500 Grossman Dr # 1007
Braintree, MA 02184-4953
Phone (857) 615-6490

Other identifiers 1

IdentifierTypeStateIssuer
001620530OtherMAHOME CARE AGENCY

Other names 1

  • sshaw nurse aid express home care Former legal business name

National Provider Directory

National Provider Directory

Locations

500 Grossman Dr
#1007
Braintree, MA 02184
Phone (857) 615-6490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1396450615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROSSMAN DR # 1007",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844953",
            "telephone_number": "857-615-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GROSSMAN DR # 1007",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844953",
            "telephone_number": "857-615-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SHINEEKQUA",
        "authorized_official_middle_name": "ANITA",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "888-742-9427",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.N.A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE AGENCY",
            "identifier": "001620530",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sshaw nurse aid express home care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.