We Shine Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

WE SHINE INC.

Practice address

4564 Mountain Laurel Dr
Grand Prairie, TX 75052-2902

Phone

(460) 430-6557

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Amber Gist, M.EDNPI 1295479285

Title

Founder/President

Phone

(469) 430-6557

Specialties & licenses 4

Addresses

Practitioners 1

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

• Amber Gist

  • Developmentally Disabled Services Day Training Agency
  • Grand Prairie, TX
  • NPI 1295479285

  Day Training, Developmentally Disabled Services

  NPD Authorized official

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1083474548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 US HWY 380 SUITE 500 PMB 174",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75033",
            "telephone_number": "469-430-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4564 MOUNTAIN LAUREL DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522902",
            "telephone_number": "460-430-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE SHINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "GIST",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "469-430-6557",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Ashley Watkins
• Washley Watley, MS, QMHP-CS
• Clesandra Watson-Robertson, DC
• Larry Dan Watson, MSSW
• Brandy Toyai Watts, LPC
• Amber Rae Weaver, COTA
• Lakendra Shardae Weaver, LPC-A
• Mary Ann Weaver, MD
• Ronshawda Webb-Bias, LCSW
• Anne K Webb, O.D.

• Adult Care Home Facility in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Adult Care Home Facility in Texas

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