Provider Demographics
NPI:1356075857
Name:SHAREEMS TOUCH LOVE & CARE LLC
Entity Type:Organization
Organization Name:SHAREEMS TOUCH LOVE & CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANNAI
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-418-1401
Mailing Address - Street 1:6034 CHESTER AVE STE 207D
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-2266
Mailing Address - Country:US
Mailing Address - Phone:904-418-1401
Mailing Address - Fax:
Practice Address - Street 1:9480 PRINCETON SQUARE BLVD S APT 1002
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-8311
Practice Address - Country:US
Practice Address - Phone:904-418-1401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL238134OtherAHCA AGENCY LICENSE