Shine On Me Inc. Of Illinois
LBN: Shine On Me Inc. Of Illinois
Shine On Me Inc. Of Illinois is an health care organization with primary practice located at 153 Nanti St , Park Forest IL 60466-2529. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Shine On Me Inc. Of Illinois can be contacted via phone (708) 506-3900, or through Shine, Roselyn via phone (708) 743-7011.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 201400008C | Illinois |
Profile Details
| NPI number | 1538524236 |
|---|---|
| LBN Legal business name | Shine On Me Inc. Of Illinois |
| DBA Doing business as | |
| Authorized official | Shine, Roselyn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 22nd, 2015 |
| Last updated | Dec 22nd, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538524236 | NPPES |
| Illinois | MEDICAID | 20150923983310 |
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