Organization Active NPI

Share Self Care LLC

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1215821970
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Sep 1, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.