Provider Type Icon

SHORE LIFECARE INC. NPI 1669422853


NPI Information

NPI: 1669422853
Provider Name: SHORE LIFECARE, INC.

Other Name: RIVERSIDE SHORE REHABILITATION CENTER

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
26181 PARKSLEY RD
PARKSLEY, VA
ZIP 23421
Phone: (757) 665-5133
Get Directions

SHORE LIFECARE, INC. is a nursing facility intermediate care facility in Parksley, VA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. SHORE LIFECARE, INC. NPI is 1669422853. The provider is registered as an organization entity type.
The provider Other Name Is Riverside Shore Rehabilitation Center.

The provider's business location address is:

26181 PARKSLEY RD
PARKSLEY, VA
ZIP 23421-723
Phone: (757) 665-5133
Fax: (757) 665-5136

The provider's authorized official is Walter William Austin .
The authorized official title is Sr Vp/cfo/treasurer and has the following contact phone number (757) 531-7015.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 1/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care FacilityNH2475VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11273950001OTHERVIRGINIADURABLE MED EQUIPMENT
2004953347MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.