Provider Demographics
NPI:1447934252
Name:SHARPE CONCIERGE HEALTHCARE LLC
Entity type:Organization
Organization Name:SHARPE CONCIERGE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCKELTON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
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:239-217-9846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty