Shine N Stars, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

034786 Issued in AL

Legal business name

SHINE N STARS, LLC

Practice address

525 Cherokee TRL
Anniston, AL 36206-1021

Phone

(256) 820-0560

Fax

(256) 820-0560

NPI assigned

Sep 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Brimer

Title

Proprietor

Phone

(256) 447-2301

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043317571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CHEROKEE TRL",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362061021",
            "telephone_number": "256-820-0560",
            "fax_number": "256-820-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 CHEROKEE TRL",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362061021",
            "telephone_number": "256-820-0560",
            "fax_number": "256-820-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE N STARS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIMER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "256-447-2301",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AL",
            "license": "034786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzie Kramer Shadrick, CRNP
• Haroon Anwar Shaikh, M.D.
• Thomas D. Sharp, DMD
• Mark Shaw
• Brittany Shiflett, DPT
• Ashley Shortt, COTA/L
• Mohammed Shubair, M.D.
• Signature in-Home Care, Inc.
• Morgan Silvers, DPM
• Stephanie Dodd Simmons, M.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Anniston, AL
• Providers in Anniston, AL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.