Organization · Type 2 NPI

Shore Lifecare, Inc.

Nursing Facility/Intermediate Care Facility · Parksley, VA

NPI number 1669422853 Active

Practice location

26181 Parksley Rd
Parksley, VA 23421-3723

Call (757) 665-5133 Map

Fax (757) 665-5136

Mailing address

608 Denbigh Blvd Ste 600
Newport News, VA 23608-4411

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	NH2475 (VA)

Nursing Facility/Intermediate Care Facility: 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 conditi…

7 other providers at this address

NPI record

NPI: 1669422853
Entity type: Organization (Type 2)
Issued: May 11, 2006
Last updated: Jan 26, 2021
Status: Active

Other names

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Riverside Shore Rehabilitation Center · other name
Riverside Shore Rehabilitation Center · other name

Authorized official

Walter William Austin
SR VP/cfo/treasurer
(757) 531-7015

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669422853

Shore Lifecare, Inc.'s National Provider Identifier is 1669422853, issued on May 11, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Parksley, VA. The record was last updated on Jan 26, 2021.