Provider Demographics
NPI:1841576105
Name:SHARE THE CARE, INC.
Entity Type:Organization
Organization Name:SHARE THE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-423-5311
Mailing Address - Street 1:1524 FORMOSA AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5329
Mailing Address - Country:US
Mailing Address - Phone:407-423-5311
Mailing Address - Fax:407-849-1495
Practice Address - Street 1:1524 FORMOSA AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-5329
Practice Address - Country:US
Practice Address - Phone:407-423-5311
Practice Address - Fax:407-849-1495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9233261QA0600X, 385H00000X
FL339385H00000X
FL9079385H00000X
FL9298385H00000X
FL347385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL674957700Medicaid