Shining Star Adhc, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SHINING STAR ADHC, INC.

Practice address

1800 Colorado Blvd
Los Angeles, CA 90041-1340

Phone

(213) 927-4131

Fax

(213) 402-6448

NPI assigned

Dec 28, 2023

Organization subpart

No

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

Authorized official

Name

Armen Basmadzhyan

Title

Administrator

Phone

(213) 927-4131

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1164291357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411340",
            "telephone_number": "213-927-4131",
            "fax_number": "213-402-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411340",
            "telephone_number": "213-927-4131",
            "fax_number": "213-402-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STAR ADHC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "BASMADZHYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-927-4131"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erryn M Shine
• Jacqui T. Shine, M.F.T.
• Tamar Shine
• Cynthia Chung Shing, AMFT
• Linda Shing, LMFT
• Shining Star Home Care
• Thomas H Shinmoto, DDS
• George Shinn
• Joaquina Shinn
• Leeanne Shinn, RN

• Adult Day Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.