MEDICARE: MS. SHAWN E WINBORNE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	60650	VA

General Provider Information

NPI Number	:	1548116411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHAWN E WINBORNE

Provider Business Mailing Address
First Line	:	3708 SOUTH ST
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23707-3122
Country	:	US
Telephone Number	:	757-796-4650
Fax Number	:	757-980-0850

Provider Business Practice Location Address
First Line	:	739 HIGH ST
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23704-3425
Country	:	US
Telephone Number	:	757-577-9646
Fax Number	:	757-980-0850

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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