Shine Like Star Room and Board

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SHINE LIKE STAR ROOM AND BOARD

Practice address

8521 Felton Crest Way
Elk Grove, CA 95624-4524

Phone

(916) 917-3414

NPI assigned

Jan 2, 2024

Organization subpart

No

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

Authorized official

Name

Julissa Maria 95624

Title

Owner

Phone

(916) 917-3414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1164292181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 FELTON CREST WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244524",
            "telephone_number": "916-917-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8521 FELTON CREST WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244524",
            "telephone_number": "916-917-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE LIKE STAR ROOM AND BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "95624",
        "authorized_official_first_name": "JULISSA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-917-3414"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kashana Shields
• Shifa
• Shifa Health Center
• Steve Yu-Hung Shih, M.D.
• Hyungseob Shim
• Yuji P. Shinfuku, OD
• Marsha Kazuko Shinozaki, MSW, LCSW
• Lindsey Harumi Shintaku, BA
• Sandra Shoate
• Ana Maria Shoup

• In Home Supportive Care Agency in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.