Shared Space Llc

LBN: Shared Space Llc
Shared Space Llc is an health care organization with primary practice located at 942 Maple Ave , Noblesville IN 46060-2602. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Shared Space Llc can be contacted via phone (317) 361-0962, or through Patch-Sablan, Sharlie via phone (317) 361-0962.

Contact Information

Primary practice address
942 Maple Ave Noblesville IN 46060-2602
Phone: (317) 361-0962
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patch-Sablan, Sharlie LMHC
Phone: (317) 361-0962

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1366105884
LBN Legal business name Shared Space Llc
DBA Doing business as
Authorized official Patch-Sablan, Sharlie LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2021
Last updated Jun 23rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366105884 NPPES
Indiana MEDICAID 300047038

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