Shatara's Passion Care,Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SHATARA'S PASSION CARE,INC

Practice address

5163 Moose Creek CT
Jacksonville, FL 32218-9304

Phone

(904) 400-5795

Fax

(904) 724-7012

NPI assigned

May 13, 2008

Last updated

May 13, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Toya Brown

Title

Owner/President

Phone

(904) 400-5795

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Shatara's Passion Careinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shatara's Passion Care,Inc

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1750564670
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1427225176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5163 MOOSE CREEK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189304",
            "telephone_number": "904-400-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5163 MOOSE CREEK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189304",
            "telephone_number": "904-400-5795",
            "fax_number": "904-724-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHATARA'S PASSION CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TOYA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "904-400-5795",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691277098",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691277096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael V Sharpe, M.D.
• Timothy David Sharpe, PA
• Kyla Kimberly Sharrah, MOT
• Bridget Sharrar
• Sharron Pediatric Center
• Shatara's Passion Care,Inc
• Susan Elizabeth Shauger, M.D.
• Arshad Shauib, PHARMD
• Allison Shaunak
• Shannon R Shaunak

• Developmentally Disabled Services Day Training Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.