Provider Demographics
NPI:1124207071
Name:SHARED CARE SERVICES INC
Entity Type:Organization
Organization Name:SHARED CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP BUSINESS DEVELOPMENT AND FINANCI
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:PETROSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-836-3499
Mailing Address - Street 1:18000 COYLE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-2825
Mailing Address - Country:US
Mailing Address - Phone:313-836-5306
Mailing Address - Fax:313-836-5641
Practice Address - Street 1:1601 BRIARWOOD CIRCLE
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108
Practice Address - Country:US
Practice Address - Phone:734-222-4000
Practice Address - Fax:734-222-4004
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EVANGELICAL HOMES OF MICHIGAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health