Shining Star Clubhouse

LBN: Family Alternatives
Shining Star Clubhouse is an health care organization with primary practice located at 113 John St , Laurinburg NC 28352-3029. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Family Alternatives can be contacted via phone (910) 291-9934, or through Teague, Milton via phone (910) 739-6624.

Contact Information

Primary practice address
113 John St Laurinburg NC 28352-3029
Phone: (910) 291-9934
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Teague, Milton
Phone: (910) 739-6624

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1821151028
LBN Legal business name Family Alternatives
DBA Doing business as Shining Star Clubhouse
Authorized official Teague, Milton
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 18th, 2006
Last updated Aug 9th, 2007 - about 19 years ago

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 1821151028 NPPES
North Carolina MEDICAID 8304106S
North Carolina MEDICAID 8301406

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