Healthcare Provider Details

I. General information

NPI: 1245685528
Provider Name (Legal Business Name): SHARE CARE USA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2016
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 E HALE ST
LAKE CHARLES LA
70601-8559
US

IV. Provider business mailing address

PO BOX 51887
LAFAYETTE LA
70505-1887
US

V. Phone/Fax

Practice location:
  • Phone: 337-491-1008
  • Fax: 337-490-1068
Mailing address:
  • Phone: 337-406-8228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number6948
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TARA CHRICEOL
Title or Position: MANAGING PARTNER
Credential:
Phone: 337-406-8228