MEDICARE: SHARONS HOSPICE AND PALLIATIVE CARE 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	251G00000X	Community Based Hospice Care Agency	07188	WY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215025788
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARONS HOSPICE AND PALLIATIVE CARE INC

Provider Business Mailing Address
First Line	:	PO BOX 73
Second Line	:
City	:	MOORCROFT
State	:	WY
Zip	:	82721-0073
Country	:	US
Telephone Number	:	307-756-3344
Fax Number	:	307-756-3394

Provider Business Practice Location Address
First Line	:	116 N. LITTLE HORN
Second Line	:
City	:	MOORCROFT
State	:	WY
Zip	:	82721
Country	:	US
Telephone Number	:	307-756-3344
Fax Number	:	307-756-3394

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHARON KANODE
Credential	:	RN
Telephone Number	:	307-756-3344

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	10/09/2013

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