Healthcare Provider Details

I. General information

NPI: 1326950676
Provider Name (Legal Business Name): SHARE LIVING CARE GIVING COMPANION CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6107 GARDEN CT
DAVIE FL
33314-7201
US

IV. Provider business mailing address

6107 GARDEN CT
DAVIE FL
33314-7201
US

V. Phone/Fax

Practice location:
  • Phone: 786-759-2800
  • Fax:
Mailing address:
  • Phone: 786-759-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. BRYANT C PERRY JR.
Title or Position: AUTHORIZED MEMBER
Credential:
Phone: 901-279-3938