Provider Demographics
NPI:1265672836
Name:SHARE CARE USA LLC
Entity Type:Organization
Organization Name:SHARE CARE USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JO LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:MONCRIEF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-406-8228
Mailing Address - Street 1:106 LEONIE ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-6228
Mailing Address - Country:US
Mailing Address - Phone:337-406-8228
Mailing Address - Fax:337-406-8393
Practice Address - Street 1:407 HIGHWAY 454 STE D
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-9223
Practice Address - Country:US
Practice Address - Phone:318-448-0344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services