LIFESHARE MANAGEMENT GROUP, INC (NPI# 1659629707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659629707 |
| Entity Type | Organization |
| Organization Name | LIFESHARE MANAGEMENT GROUP, INC |
| Practice Address |
6323 Memorial Hwy Tampa FL 33615-4509 |
| Practice Telephone | 8138919474 |
| Mailing Telephone | 8138919474 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | KATIE VELTRI (CLINICIAN) |
| Authorized Official Telephone | 9046319375 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IMH 9018 | FL | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | LIFESHARE MANAGEMENT GROUP, INC. | 60 Rogers Street, Suite 2, Manchester, NH 03103 |
| Street Address |
6323 MEMORIAL HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33615-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487789814 | Linda Carole Hill | Social Worker | 6323 Memorial Hwy, Suite A, Tampa, FL 33615-4509 | 2007-02-23 |
| 1003260910 | Khusbu Pravin Patel | Dentist | 6323 Memorial Hwy, Tampa, FL 33615 | 2016-04-17 |
| 1770952426 | Casey Lynn | Dentist | 6323 Memorial Hwy, Tampa, FL 33615-4509 | 2015-09-23 |
| 1053797126 | Patrice Brantley | Counselor | 6323 Memorial Hwy, Suite A, Tampa, FL 33615-4509 | 2015-07-30 |
| 1396183638 | Latoya Thomas | Marriage & Family Therapist | 6323 Memorial Hwy, Bldg A, Tampa, FL 33615-4509 | 2013-06-10 |
| 1528309549 | Vanessa Morris | Case Manager/Care Coordinator | 6323 Memorial Hwy, Tampa, FL 33615-4509 | 2013-03-15 |
| 1871832279 | Kristina Hager | Counselor | 6323 Memorial Hwy, Building A, Tampa, FL 33615-4509 | 2013-02-05 |
| 1467703538 | Shaima Mamdouh Elsedoudi | Counselor | 6323 Memorial Hwy, Building A, Tampa, FL 33615-4509 | 2012-09-28 |
| 1679857429 | Candace Heather Macdowall | Counselor | 6323 Memorial Hwy, Bldg A, Tampa, FL 33615-4509 | 2011-09-28 |
| 1902105851 | Maria D Estrella | Counselor | 6323 Memorial Hwy, Building A, Tampa, FL 33615-4509 | 2011-03-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
| 1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
| 1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
| 1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
| 1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
| 1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
| Find all providers in zip 33615 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661446 | Trinity Mental Health Inc | Community/Behavioral Health | 4236 W Linebaugh Ave, Tampa, FL 33624-5241 | 2020-08-28 |
| 1932718467 | Diane G .hill, Phd | Community/Behavioral Health | 1205 N Franklin St Ste 328, Tampa, FL 33602-3313 | 2020-07-30 |
| 1285258293 | Essential Mental Health Inc | Community/Behavioral Health | 4311 W Waters Ave Ste 304, Tampa, FL 33614-2194 | 2020-06-05 |
| 1871114801 | Resurgence Tampa Bay LLC | Community/Behavioral Health | 3808 Gunn Hwy, Tampa, FL 33618-8757 | 2020-04-30 |
| 1841819489 | Tri-lyfe Support Services Inc | Community/Behavioral Health | 3919 E Fern St Apt 4, Tampa, FL 33610-1609 | 2020-04-14 |
| 1508497694 | Lotus Community Corp | Community/Behavioral Health | 5927 Webb Rd, Tampa, FL 33615-3219 | 2020-01-28 |
| 1457992463 | Elevate To Achieve LLC | Community/Behavioral Health | 1208 E Kennedy Blvd Unit 912, Tampa, FL 33602-3537 | 2019-10-01 |
| 1285281899 | Bridges Behavioral Wellness LLC | Community/Behavioral Health | 2746 N Florida Ave, Tampa, FL 33602-1522 | 2019-08-20 |
| 1487218426 | Alintana LLC | Community/Behavioral Health | 4410 Melton Ave, Tampa, FL 33614-7218 | 2019-04-25 |
| 1679032379 | 5 Star Cares, Inc | Community/Behavioral Health | 1101 Ray Charles Blvd Unit 1505, Tampa, FL 33602-3019 | 2019-03-13 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.