SHARED SUPPORT INC. NPI 1003172925

NPI Information

  • NPI: 1003172925
  • Provider Name: SHARED SUPPORT, INC.
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Address: 218 BRIDGE AVE
    SUNBURY, PA
    ZIP 17801
  • Phone: (570) 286-4982

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NPI Details

SHARED SUPPORT, INC. is a public health or welfare in Sunbury, PA. SHARED SUPPORT, INC. NPI is 1003172925. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

218 BRIDGE AVE
SUNBURY, PA
ZIP 17801-006
Phone: (570) 286-4982
Fax: (570) 286-4984

The provider's authorized official is Theresa E Pratt .
The authorized official title is Fiscal Director and has the following contact phone number (570) 286-4982.

The enumeration date for this NPI number is 4/4/2012 and was last updated on 4/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical NurseNo
2251K00000XPublic Health or Welfare329450PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101490123MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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