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SHARE FOUNDATION NPI 1174522841


NPI Information

NPI: 1174522841
Provider Name: SHARE FOUNDATION

Doing Business As: LIFE TOUCH HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 04D1063818

Address:
2301 CHAMPAGNOLLE ROAD
EL DORADO, AR
ZIP 71730
Phone: (870) 862-0337
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SHARE FOUNDATION is a hospice care community based in El Dorado, AR. SHARE FOUNDATION NPI is 1174522841. The provider is registered as an organization entity type.
The provider Is Doing Business As Life Touch Hospice.

The provider's business location address is:

2301 CHAMPAGNOLLE ROAD
EL DORADO, AR
ZIP 71730-816
Phone: (870) 862-0337
Fax: (870) 862-0727

The provider's authorized official is Linda D Stringfellow .
The authorized official title is President/coo and has the following contact phone number 87088190157.

The CLIA number assigned to this NPI record is 04D1063818 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 7/3/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315D00000XHospice, InpatientAR4388ARKANSASNo
2251G00000XHospice Care, Community BasedAR4388ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SW21328OTHERMEDICARE SUBMITTER ID
2041522MEDICARE UPINARKANSAS
3130816747MEDICAIDARKANSAS
4041522MEDICARE OSCAR/CERTIFICATION
59862MEDICARE PINARKANSAS

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: 11/14/2023

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