Provider Demographics
NPI:1689877698
Name:THE SHARING HEARTS
Entity Type:Organization
Organization Name:THE SHARING HEARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:YELDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:979-885-4657
Mailing Address - Street 1:526 WARD STREET BLDG. A
Mailing Address - Street 2:
Mailing Address - City:SEALY
Mailing Address - State:TX
Mailing Address - Zip Code:77474-2652
Mailing Address - Country:US
Mailing Address - Phone:979-885-4657
Mailing Address - Fax:979-885-3421
Practice Address - Street 1:526 WARD STREET BLDG. A
Practice Address - Street 2:
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-2652
Practice Address - Country:US
Practice Address - Phone:979-885-4657
Practice Address - Fax:979-885-3421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120199261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN