Organization Active NPI

Share Life LTD. Co.

  • Case Management Agency
  • Kissimmee, FL
National Provider Identifier
1689981664
Registry record updated Sep 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SHARE LIFE LTD. CO.
Practice address
1096 Plaza Dr
Kissimmee, FL 34743-4069
Phone
(407) 758-2371
NPI assigned
Sep 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2010

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

Authorized official

Name
Easter Asis HancockNPI 1871800730
Title
Program Director
Phone
(407) 758-2371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1096 Plaza Dr
Kissimmee, FL 34743-4069

Mailing address

1096 Plaza Dr
Kissimmee, FL 34743-4069
Phone (407) 758-2371

National Provider Directory

National Provider Directory

Locations

1096 Plaza Dr
Kissimmee, FL 34743
Phone (407) 758-2371

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284163200000",
    "number": "1689981664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 PLAZA DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347434069",
            "telephone_number": "407-758-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 PLAZA DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347434069",
            "telephone_number": "407-758-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARE LIFE LTD. CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-11",
        "last_updated": "2010-09-11",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "EASTER",
        "authorized_official_middle_name": "ASIS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "407-758-2371"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2010; 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.