Provider Demographics
NPI:1891599932
Name:LOVE, SHAMESE S
Entity type:Individual
Prefix:
First Name:SHAMESE
Middle Name:S
Last Name:LOVE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1483 LONGDALE DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-4703
Mailing Address - Country:US
Mailing Address - Phone:757-650-3727
Mailing Address - Fax:757-904-5895
Practice Address - Street 1:1483 LONGDALE DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-4703
Practice Address - Country:US
Practice Address - Phone:757-650-3727
Practice Address - Fax:757-904-5895
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA941450343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)