Shamrock Key, LLC

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

SHAMROCK KEY, LLC

Doing business as

Amada Senior Care of Southern Fairfax County

Practice address

5600 General Washington Dr Ste B202
Alexandria, VA 22312-2415

Phone

(571) 297-7499

NPI assigned

May 7, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Eugene Henry Reinard Jr.

Title

President

Phone

(571) 297-7499

Specialties & licenses 2

Addresses

Other names 1

• Amada Senior Care of Southern Fairfax County Doing business as

Locations

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1437648326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 GENERAL WASHINGTON DR STE B202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122415",
            "telephone_number": "571-297-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 GENERAL WASHINGTON DR STE B202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122415",
            "telephone_number": "571-297-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMROCK KEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "REINARD",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-297-7499",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care of Southern Fairfax County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nurse's Aide in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Nurse's Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.