Shooting Stars Early Intervention LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SHOOTING STARS EARLY INTERVENTION LLC

Practice address

1860 Springvale Rd
Lugoff, SC 29078-9788

Phone

(803) 420-8492

NPI assigned

Dec 7, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria Nelson

Title

Owner

Phone

(803) 420-8492

Specialties & licenses 1

Addresses

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1003527409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 SPRINGVALE RD",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789788",
            "telephone_number": "803-420-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SPRINGVALE RD",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789788",
            "telephone_number": "803-420-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOOTING STARS EARLY INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-420-8492"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandhills Medical Foundation, Inc.
• Lindsay Renee Sane, ATC, SCAT
• Saving Grace Counseling, LLC
• Sentinel Health Partners, PA
• Jill S Sheorn, NP
• Smiles Home Care
• Roderick David Smith, DMD
• South Carolina ENT Allergy & Sleep Medicine PA
• Sharaine Spencer
• Statewide Nursing Solutions LLC

• All providers in Lugoff, SC
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.