Provider Demographics
NPI:1245685528
Name:SHARE CARE USA
Entity type:Organization
Organization Name:SHARE CARE USA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL OPERATIONAL COORDINATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-406-8228
Mailing Address - Street 1:PO BOX 51887
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-1887
Mailing Address - Country:US
Mailing Address - Phone:337-406-8228
Mailing Address - Fax:
Practice Address - Street 1:408 E HALE ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-8559
Practice Address - Country:US
Practice Address - Phone:337-491-1008
Practice Address - Fax:337-490-1068
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHARE CARE USA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6948251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1851564702Medicaid
LA1215100169Medicaid
LA1275705147Medicaid
LA1760655617Medicaid