Shorelines

LBN: Shorelines
Shorelines is an health care organization with primary practice located at 500 N Rainbow Blvd , Las Vegas NV 89107-1082. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Shorelines can be contacted via phone (843) 619-3571, or through D'Agostino, Meredith via phone (843) 619-3571.

Contact Information

Primary practice address
500 N Rainbow Blvd Las Vegas NV 89107-1082
Phone: (843) 619-3571
Fax:
Website:
Map and Directions
Authorized official contact:
Name: D'Agostino, Meredith Nurse Practitioner (NP)
Phone: (843) 619-3571

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1225675861
LBN Legal business name Shorelines
DBA Doing business as Shorelines
Authorized official D'Agostino, Meredith Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2019
Last updated Sep 8th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225675861 NPPES
South Carolina MEDICAID 1871752303
South Carolina Other 816203

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