Provider Demographics
NPI:1124188024
Name:SHARE YOUR CARE, INC.
Entity Type:Organization
Organization Name:SHARE YOUR CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:PAVLAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-298-1700
Mailing Address - Street 1:P.O. BOX 35101
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87176
Mailing Address - Country:US
Mailing Address - Phone:505-298-1700
Mailing Address - Fax:505-298-1900
Practice Address - Street 1:2651 PAN AMERICAN FREEWAY, NE SUITE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107
Practice Address - Country:US
Practice Address - Phone:505-298-1700
Practice Address - Fax:505-298-1900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty