Provider Demographics
NPI:1821287772
Name:SHARING THE LOVE HEALTH CARE
Entity Type:Organization
Organization Name:SHARING THE LOVE HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONTINA
Authorized Official - Middle Name:GRIFFIN
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-809-4767
Mailing Address - Street 1:3601 BASS LOOP
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1435
Mailing Address - Country:US
Mailing Address - Phone:512-809-4767
Mailing Address - Fax:
Practice Address - Street 1:3601 BASS LOOP
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1435
Practice Address - Country:US
Practice Address - Phone:512-809-4767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child