Shining Stars Healthcare Services LLC

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

SHINING STARS HEALTHCARE SERVICES LLC

Practice address

20507 Regal Shadow LN
Cypress, TX 77433-5459

Phone

(281) 463-7794

NPI assigned

Aug 2, 2021

Organization subpart

No

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

Authorized official

Name

Grace Amah, NPNPI 1043777923

Title

Director

Phone

(346) 445-3387

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Chinenye Amah

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
  • NPI 1043777923

  TX

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1083387302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20507 REGAL SHADOW LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335459",
            "telephone_number": "281-463-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20507 REGAL SHADOW LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335459",
            "telephone_number": "281-463-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STARS HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-01",
        "status": "A",
        "authorized_official_last_name": "AMAH",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "346-445-3387",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Shepherd
• Lauren Sheridan
• Rashmi M Sheshadri, M.D.
• Nicole Hoi Man Sheung, DO
• Lulian Shih, OD
• Shefiu Shonibare
• Shook Wellness Center, LLC
• Alyssa Marie Short, DO
• Sharlene Shuler, LMT
• Haley Shults

• Behavioral Neurology & Neuropsychiatry Physician in Cypress, TX
• Providers in Cypress, TX by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.