Active NPI
Share Self Care LLC
- Community/Behavioral Health Agency
- Winston Salem, NC
National Provider Identifier
1215821970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SHARE SELF CARE LLC
- Practice address
- 1485 Rymco Dr Ste 200
Winston Salem, NC 27103-2945 - Phone
- (336) 804-9936
- NPI assigned
- Jun 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Nicole Cowan
- Title
- Owner
- Phone
- (336) 804-9936
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1485 Rymco Dr Ste 200
Winston Salem, NC 27103-2945
Mailing address
1485 Rymco Dr Ste 200
Winston Salem, NC 27103-2945
Phone (336) 804-9936
National Provider Directory
National Provider DirectoryLocations
2990 Bethesda Pl
Winston Salem, NC 27103
Phone (336) 287-3583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1215821970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 RYMCO DR STE 200",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032945",
"telephone_number": "336-804-9936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 RYMCO DR STE 200",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032945",
"telephone_number": "336-804-9936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARE SELF CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-06",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "COWAN",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-804-9936"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.