MEDICARE: J B SHARE A HOME, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1710829122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J B SHARE A HOME, INC

Provider Business Mailing Address
First Line	:	6165 DUNCAN DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-5106
Country	:	US
Telephone Number	:	725-206-5553
Fax Number	:	725-206-5476

Provider Business Practice Location Address
First Line	:	6165 DUNCAN DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-5106
Country	:	US
Telephone Number	:	725-206-5553
Fax Number	:	725-206-5476

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	ERIC YOSHIDA
Credential	:
Telephone Number	:	725-206-5553

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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