SHARED SUPPORT INC. NPI 1700123684

NPI Information

  • NPI: 1700123684
  • Provider Name: SHARED SUPPORT, INC.
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Organization
  • Address: 2328 N BROAD ST
    COLMAR, PA
    ZIP 18915
  • Phone: (570) 286-4982

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NPI Details

SHARED SUPPORT, INC. is a licensed practical nurse in Colmar, PA. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. SHARED SUPPORT, INC. NPI is 1700123684. The provider is registered as an organization entity type.

The provider's business location address is:

2328 N BROAD ST
COLMAR, PA
ZIP 18915-725
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 1/11/2013 and was last updated on 4/13/2017.

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
1251K00000XPublic Health or WelfareAPPLIED FORPENNSYLVANIANo
2164W00000XLicensed Practical NurseYes

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: 11/21/2025

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