SHORE HEALTH SERVICES INC (NPI# 1205906864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205906864 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SERVICES INC |
| Other Organization Name | SHORE MEMORIAL HOSPITAL |
| Practice Address |
9507 Hospital Ave Nassawadox VA 23413 |
| Mailing Address |
Po Box 17 9507 Hospital Ave Nassawadox VA 23413 |
| Practice Telephone | 7574148702 |
| Practice Fax Number | 7574148335 |
| Mailing Telephone | 7574148702 |
| Mailing Fax Number | 7574148335 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT P YEARTY (CFO) |
| Authorized Official Telephone | 7574148756 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | ========= | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 442205 | 01 |
| VA | 4951638 | 05 |
| Other Name | Type Code |
|---|---|
| Shore Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851798409 | Shore Health Services Inc | General Acute Care Hospital | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2014-11-25 |
| 1962579193 | Shore Health Services Inc | Psychiatric Unit | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-30 |
| 1114097771 | Shore Health Services Inc | Medicare Defined Swing Bed Unit | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-09 |
| 1730122417 | Shore Health Services Inc | Internal Medicine | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2006-06-13 |
| 1083668982 | Shore Health Services Inc | Orthopaedic Surgery | 9506 Hospital Ave, Nassawadox, VA 23413 | 2006-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SHORE HEALTH SERVICES INC. | 20480 Market St, Onancock, Virginia 23417-4309 |
| Street Address |
9507 HOSPITAL AVE |
| City | NASSAWADOX |
| State | VA |
| Zip Code | 23413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588655302 | James Kaye | Specialist | 9507 Hospital Ave, Nassawadox, VA 23413 | 2005-11-01 |
| 1174883474 | Sentara Medical Group | Internal Medicine | 9507 Hospital Ave, Nassawadox, VA 23413-0017 | 2012-05-21 |
| 1447556097 | Riverside Physician Services Inc | Internal Medicine | 9507 Hospital Ave, 3rd Floor, Nassawadox, VA 23413 | 2011-01-31 |
| 1346564697 | Shore Health Services, Inc | Family Medicine | 9507 Hospital Ave, Nassawadox, VA 23413-0718 | 2010-03-16 |
| 1811219751 | Shore Health Services, Inc | General Practice | 9507 Hospital Ave, Nassawadox, VA 23413-0017 | 2010-02-19 |
| 1922202340 | Rebecca Laura Downey | Anesthesiology | 9507 Hospital Ave, Nassawadox, VA 23413-0017 | 2007-06-11 |
| 1043432610 | Shore Health Services, Inc | Emergency Medicine | 9507 Hospital Ave, Nassawadox, VA 23413 | 2007-05-03 |
| 1962579193 | Shore Health Services Inc | Psychiatric Unit | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-30 |
| 1114097771 | Shore Health Services Inc | Medicare Defined Swing Bed Unit | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-09 |
| 1659440006 | Shirley M. Randall Inc | Anesthesiology | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265920805 | Shawn W Butler | Hearing Instrument Specialist | 9502 Hospital Ave., Nassawadox, VA 23413 | 2018-04-30 |
| 1649726522 | John Willis Konkel | Counselor | 10129 Rogers Drive, Nassawadox, VA 23413 | 2016-08-30 |
| 1154694065 | Jeanette M Sessoms | Nurse Practitioner | 9524 Hospital Ave., Nassawadox, VA 23413 | 2012-02-23 |
| 1609990308 | Shore Health Services, Inc | Surgery | 10111 Rogers Drive, Nassawadox, VA 23413 | 2007-03-19 |
| 1447329370 | Family Practice Associates | Family Medicine | 9506 Hospital Avenue, Nassawadox, VA 23413 | 2006-11-07 |
| 1669567632 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 7114 Lankford Highway, Nassawadox, VA 23413 | 2006-10-04 |
| 1134212939 | Debra Castner | Nurse Practitioner | 9550 Hospital Ave, Po Box 923, Nassawadox, VA 23413 | 2006-10-02 |
| 1093810384 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 9550 Hospital Avenue, Nassawadox, VA 23413 | 2006-09-13 |
| 1346353570 | Federico Fernando Molera | Anesthesiology | 9507 Rogers Ave, Nassawadox, VA 23413 | 2006-08-15 |
| 1710920020 | Rayfield's Pharmacy Inc | Pharmacy | 9502 Hospital Ave, Nassawadox, VA 23413 | 2006-06-14 |
| Find all providers in zip 23413 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265924260 | Nassawadox Life Care, LLC | Skilled Nursing Facility | 9468 Hospital Road, Nassawadox, VA 23413-0176 | 2018-06-05 |
| 1821089731 | Nassawadox Life Care, LLC | Skilled Nursing Facility | 9468 Hospital Rd, Nassawadox, VA 23413 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015119 | Mikaylah Lang | Skilled Nursing Facility | 4505 Georgewashington Hwy, Portsmouth, VA 23702 | 2020-02-13 |
| 1134760432 | Valley Operator LLC | Skilled Nursing Facility | 940 E Lee Hwy, Chilhowie, VA 24319-3237 | 2019-10-08 |
| 1871134171 | Westport Operator LLC | Skilled Nursing Facility | 7300 Forest Ave, Richmond, VA 23226-3735 | 2019-10-08 |
| 1437790730 | Hopewell Operator LLC | Skilled Nursing Facility | 905 Cousins Ave, Hopewell, VA 23860-6507 | 2019-10-08 |
| 1013478411 | Blue Ridge Snf Operations LLC | Skilled Nursing Facility | 105 Landmark Dr, Stuart, VA 24171-9401 | 2019-03-28 |
| 1518459593 | Big Stone Gap Life Care, LLC | Skilled Nursing Facility | 2045 Valley View Dr, Big Stone Gap, VA 24219-3319 | 2018-06-05 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1033660360 | Nathan Ian Dalleave | Skilled Nursing Facility | 1243 Lanier Rd, Martinsville, VA 24112-5211 | 2016-10-21 |
| 1669823373 | Allyson Clark | Skilled Nursing Facility | 490 Paradise Ln, Saxe, VA 23967-5529 | 2016-06-23 |
| Find all providers with the same taxonomy | ||||
| City | NASSAWADOX |
| Zip Code | 23413 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.