Provider Demographics
NPI:1215269352
Name:SHARPE HEALTHCARE SOLUTION, INC
Entity type:Organization
Organization Name:SHARPE HEALTHCARE SOLUTION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKELTON
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:561-632-0666
Mailing Address - Street 1:302 HARBOUR POINTE WAY
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-2007
Mailing Address - Country:US
Mailing Address - Phone:561-632-0666
Mailing Address - Fax:
Practice Address - Street 1:302 HARBOUR POINTE WAY
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33413-2007
Practice Address - Country:US
Practice Address - Phone:561-632-0666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL174H00000XMedicaid
FL332BN1400XMedicaid
FL332B00000XMedicaid
FL332BC3200XMedicaid