Healthcare Provider Details

I. General information

NPI: 1043033954
Provider Name (Legal Business Name): SHARING HOPE HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2024
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 MARTIN LUTHER KING AVE
KINGSTREE SC
29556-4016
US

IV. Provider business mailing address

PO BOX 1301
KINGSTREE SC
29556-1301
US

V. Phone/Fax

Practice location:
  • Phone: 843-355-4673
  • Fax:
Mailing address:
  • Phone: 843-355-4673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: PARIS STAGGERS
Title or Position: PRESIDENT/ADMINISTRATOR
Credential:
Phone: 839-266-4084