Provider Demographics
NPI:1750576005
Name:SHAREINCARE, L.L.C.
Entity type:Organization
Organization Name:SHAREINCARE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:KOTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-245-2075
Mailing Address - Street 1:26618 HAZEL RD
Mailing Address - Street 2:
Mailing Address - City:ELKPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52044-8312
Mailing Address - Country:US
Mailing Address - Phone:563-245-2075
Mailing Address - Fax:
Practice Address - Street 1:26618 HAZEL RD
Practice Address - Street 2:
Practice Address - City:ELKPORT
Practice Address - State:IA
Practice Address - Zip Code:52044-8312
Practice Address - Country:US
Practice Address - Phone:563-245-2075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health