Provider Demographics
NPI:1942768452
Name:SHAREABLE MOMENTS HOME CARE LLC
Entity type:Organization
Organization Name:SHAREABLE MOMENTS HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HAISONN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHADDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-600-9520
Mailing Address - Street 1:501 YORK RD STE LO2
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-2142
Mailing Address - Country:US
Mailing Address - Phone:215-600-9520
Mailing Address - Fax:
Practice Address - Street 1:501 YORK RD STE LO2
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-2142
Practice Address - Country:US
Practice Address - Phone:215-600-9520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care