Healthcare Provider Details
I. General information
NPI: 1275705147
Provider Name (Legal Business Name): SHARE CARE USA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2008
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
- Phone: 337-406-8228
- Fax: 337-406-8228
- Phone: 337-406-8228
- Fax: 307-406-8393
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TARA
CHRICEOL
Title or Position: MANAGING PARTNER
Credential:
Phone: 337-406-8228