Shiningstar Independent Llc

LBN: Shiningstar Independent Llc
Shiningstar Independent Llc is an health care organization with primary practice located at 5146 N 11Th Ave Apt D208 , Phoenix AZ 85013-2161. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Shiningstar Independent Llc can be contacted via phone (240) 374-2292, or through Ajayi, Lucia Olufunmilayo via phone (240) 374-2292.

Contact Information

Primary practice address
5146 N 11Th Ave Apt D208 Phoenix AZ 85013-2161
Phone: (240) 374-2292
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ajayi, Lucia Olufunmilayo
Phone: (240) 374-2292

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1336769322
LBN Legal business name Shiningstar Independent Llc
DBA Doing business as
Authorized official Ajayi, Lucia Olufunmilayo
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2020
Last updated Apr 20th, 2020 - about 6 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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