Shore Home Care Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SHORE HOME CARE AGENCY, LLC

Practice address

31 N Providence Rd
North Chesterfield, VA 23235-5221

Phone

(804) 323-1731

NPI assigned

Jul 26, 2019

Organization subpart

No

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

Authorized official

Name

Yessinna Nicole Wilkins

Title

Owner

Phone

(804) 323-1731

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1790339984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 N PROVIDENCE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355221",
            "telephone_number": "804-323-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 N PROVIDENCE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355221",
            "telephone_number": "804-323-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "YESSINNA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-323-1731"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Nichole Shill, LPC
• Sojung Shim
• Matthew M Shiomichi, PHYSICAL THERAPIST
• Kenneth Marvin Shirley, LPC
• Shore Home Care Agency Inc
• Ashley M. Shoultz, FNP
• Abigail Shoun, BCBA
• John J Shumate III, MED, CSAC
• Elizabeth Anna Shurte, LPC
• Stephanie Fowlkes Sill, NP

• Home Health Agency in North Chesterfield, VA
• Providers in North Chesterfield, 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 Jul 26, 2019; 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.