NPIMap

Organization Active NPI

Shore Staffing, Inc.

  • Nursing Care Agency
  • Bristow, VA
National Provider Identifier
1730364381
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
SA-02084 Issued in MD
Legal business name
SHORE STAFFING, INC.
Practice address
12339 Sherborne St
Bristow, VA 20136-2003
Phone
(703) 393-8806
NPI assigned
Jan 2, 2008
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Ms. Bonnie P Burke
Title
President
Phone
(410) 957-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X SA-02084 MD Primary

Addresses

Primary practice location

12339 Sherborne St
Bristow, VA 20136-2003

Mailing address

3109 Fair Island LN
Marion Station, MD 21838-2461
Phone (410) 957-2800

National Provider Directory

National Provider Directory
Tax ID family
Shore Staffing Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1730364381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 FAIR ISLAND LN",
            "city": "MARION STATION",
            "state": "MD",
            "postal_code": "218382461",
            "telephone_number": "410-957-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12339 SHERBORNE ST",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362003",
            "telephone_number": "703-393-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE STAFFING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-957-2800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "SA-02084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.