Provider Demographics
NPI:1841962610
Name:SHORE HOME CARE TRANSPORTATION
Entity type:Organization
Organization Name:SHORE HOME CARE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:336-765-3635
Mailing Address - Street 1:1386 WESTGATE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3103
Mailing Address - Country:US
Mailing Address - Phone:336-287-3866
Mailing Address - Fax:336-765-0736
Practice Address - Street 1:1386 WESTGATE CENTER DR STE C
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3103
Practice Address - Country:US
Practice Address - Phone:336-287-3866
Practice Address - Fax:336-765-0736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus