RIVERSIDE SHORE REHABILITATION CENTER - NPI 1669422853 - Nursing Facility/Intermediate Care Facility in Parksley, VA

Q: What is Shore Lifecare, Inc.'s NPI number?

The NPI number for Shore Lifecare, Inc. is 1669422853. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is also known as Riverside Shore Rehabilitation Center.

Q: What is Shore Lifecare, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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About Riverside Shore Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE SHORE REHABILITATION CENTER (NPI 1669422853) is a healthcare organization registered as a nursing facility/intermediate care facility in Parksley, Virginia and active in the NPI registry since May 2006. The organization lists Walter William Austin, Sr Vp/cfo/treasurer, as its authorized official.

NPPES Registry Identity

NPI1669422853

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameSHORE LIFECARE, INC.

Location Address26181 PARKSLEY RDParksley, VA 23421-3723

Mailing Address608 Denbigh Blvd Ste 600Newport News, VA 23608-4411 · (757) 875-2023 · Fax (757) 875-2016

Phone(757) 665-5133

Fax(757) 665-5136

Organization SubpartNo

Authorized OfficialWalter William AustinSr Vp/cfo/treasurer · (757) 531-7015

Enumeration DateMay 11, 2006

Last NPPES UpdateJanuary 26, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2021

✔ NPI 1669422853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in VA · NH2475

Definition

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.

26181 PARKSLEY RD, Parksley, VA 23421

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Other Names 1

Other NameRiverside Shore Rehabilitation Center

Other Identifiers 2

Other1273950001VA · Durable Med Equipment

Medicaid004953347VA

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LINDSAY EVANS M.S., CCC-SLP

Speech-Language Pathologist