Provider Demographics
NPI:1700061876
Name:SHENE SERVICES LLC
Entity Type:Organization
Organization Name:SHENE SERVICES LLC
Other - Org Name:SHENE NURSING SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHENE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:631-324-9555
Mailing Address - Street 1:PO BOX 1994
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11937-0908
Mailing Address - Country:US
Mailing Address - Phone:631-324-9555
Mailing Address - Fax:631-458-1426
Practice Address - Street 1:1 MCGRATH STAND LN
Practice Address - Street 2:
Practice Address - City:SAG HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11963-2830
Practice Address - Country:US
Practice Address - Phone:631-324-9555
Practice Address - Fax:631-458-1426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1127L001251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1127L001OtherLICENSE