Shine LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SHINE LLC

Practice address

1390 Southside Dr Ste 111B
Salem, VA 24153-4652

Phone

(703) 298-8700

NPI assigned

Nov 1, 2022

Organization subpart

No

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

Authorized official

Name

Bamlak EsheteaNPI 1760052567

Title

Owner

Phone

(571) 315-2059

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Bamlak Eshetea

  • Driver
  • Roanoke, VA
  • NPI 1760052567
  NPD Authorized official

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1548977234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 SOUTHSIDE DR STE 111B",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534652",
            "telephone_number": "571-315-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 SOUTHSIDE DR STE 111B",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534652",
            "telephone_number": "703-298-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "ESHETEA",
        "authorized_official_first_name": "BAMLAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-315-2059"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilce Sheppard
• Rathnakar M Sherigar, MD
• Howard B Sherman, MD
• Katelyn Noel Sherwood
• Matthew James Shields Jr., LCSW
• Delmar Dean Short, M.D.
• Nancy Sabados Short, L.C.S.W.
• Destin Shortell, PHD
• Hana Siddique, MD
• Ibrahim Siddiqui, DO

• Non-emergency Medical Transport (VAN) in Salem, VA
• Providers in Salem, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.