Provider Demographics
NPI:1427922319
Name:SHANDS HOME CARE SERVICES, LLC
Entity type:Organization
Organization Name:SHANDS HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHNAVIAN
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:SHANDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-645-5595
Mailing Address - Street 1:3026 TYRE NECK ROAD SUITE I
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703
Mailing Address - Country:US
Mailing Address - Phone:757-645-5595
Mailing Address - Fax:757-802-3710
Practice Address - Street 1:3026 TYRE NECK ROAD SUITE I
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703
Practice Address - Country:US
Practice Address - Phone:757-645-5595
Practice Address - Fax:757-802-3710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health