NPIMap

Organization Active NPI

Shining Star Caregivers, LLC

  • In Home Supportive Care Agency
  • Durango, CO
National Provider Identifier
1033429337
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15777320000 Issued in CO
Legal business name
SHINING STAR CAREGIVERS, LLC
Practice address
2512 Pine Ridge CT
Durango, CO 81301-5872
Phone
(970) 946-2932
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Mary Cardin, OWNER
Title
Owner
Phone
(970) 946-2932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15777320000 CO Primary

Addresses

Primary practice location

2512 Pine Ridge CT
Durango, CO 81301-5872

Mailing address

2512 Pine Ridge CT
Durango, CO 81301-5872
Phone (970) 946-2932

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1033429337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 PINE RIDGE CT",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015872",
            "telephone_number": "970-946-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 PINE RIDGE CT",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015872",
            "telephone_number": "970-946-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STAR CAREGIVERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "CARDIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-946-2932",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "15777320000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.