Organization
SHORE HEALTH SERVICES, INC
Active
Other names
Riverside Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER W AUSTIN JR. (EXECUTIVE VP/CFO)
(757) 875-7545
Entity
Organization
Contact information
Practice address
23379 COMMERCE DR, ACCOMAC, VA 23301-1314
(757) 789-5000
(757) 789-3556
Mailing address
608 DENBIGH BLVD STE 800, NEWPORT NEWS, VA 23608-4487
(757) 758-7545
(757) 875-7553
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
H1901
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004973593
—
VA
01
—
49Q7507001
BRANCH ID NUMBER
VA
Enumeration date
05/10/2006
Last updated
01/19/2023
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