Shine on TXK Dayhab Services

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SHINE ON TXK DAYHAB SERVICES

Practice address

2202 S Stateline
Texarkana, TX 75501

Phone

(903) 293-7446

NPI assigned

Nov 29, 2024

Organization subpart

No

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

Authorized official

Name

Catherin F Campbell

Title

Administrator

Phone

(903) 293-7446

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1043036536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 W 7TH ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755016424",
            "telephone_number": "903-293-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 S STATELINE",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "75501",
            "telephone_number": "903-293-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE ON TXK DAYHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CATHERIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-293-7446"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amberly Ann Shaw, LPC
• Caitlin Sheets, OTA
• Khalid Sherani, MD
• Aruna N. Sheth, M.D.
• Micheal Shields, PH.D.
• Charles E Shoalmire Jr., APN
• Sandra Shoulders, L.P.C.
• Shreveport Vamc
• Deborah Lynn Shuman, MD
• Phillip Ray Simmons

• Developmentally Disabled Services Day Training Agency in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.