# SHORE HEALTH SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053360529
- **Authorized official:** MR. WALTER W AUSTIN JR. (EXECUTIVE VP/CFO)
- **Authorized official phone:** (757) 875-7545

## Contact information

- **Practice address:** 23379 COMMERCE DR, ACCOMAC, VA 23301-1314
- **Practice address phone:** (757) 789-5000
- **Practice address fax:** (757) 789-3556
- **Mailing address:** 608 DENBIGH BLVD STE 800, NEWPORT NEWS, VA 23608-4487
- **Mailing address phone:** (757) 758-7545
- **Mailing address fax:** (757) 875-7553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | H1901 | VA | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 01/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004973593 | — | VA |
| 01 | — | 49Q7507001 | BRANCH ID NUMBER | VA |