NPIMap

Organization Active NPI

Shining Star Home Care, LLC.

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1205128147
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
072094B Issued in NY
Legal business name
SHINING STAR HOME CARE, LLC.
Practice address
6024 14TH Ave
Brooklyn, NY 11219-5085
Phone
(718) 435-4700
Fax
(718) 435-4775
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Chaim Hirsch
Title
President
Phone
(718) 435-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 072094B NY Primary

Addresses

Primary practice location

6024 14TH Ave
Brooklyn, NY 11219-5085

Mailing address

6024 14TH Ave
Brooklyn, NY 11219-5085
Phone (718) 435-4700

Other identifiers 2

IdentifierTypeStateIssuer
7001638OtherNYNYS LICENSE
03438497MedicaidNY

Other names 1

  • Shining Star Home Health Care, LLC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110602000645 NY Part A Provider - Home Health Agency 9335326107 Practice locations: Brooklyn, NY

Home health agency certification: CCN 337440

Legal name
SHINING STAR HOME CARE LLC
Doing business as
SHINING STAR HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 17, 2012
Last certification
Nov 18, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 9, 2011 in NY
Enrollment address
6024 14TH Ave
Ste 2
Brooklyn, NY 11219-5086

Care Compare: Home health agency

Medicare Care Compare
Listed as
Shining Star Home Health CareCCN 337440
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jan 17, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2227374Shining Star Home Care LLC6024 14TH Avenue, 2ND Floor, Brooklyn, NY 11219Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

1333 60th St
Brooklyn, NY 11219
Phone (718) 304-0900

6024 14th Ave
Brooklyn, NY 11219
Phone (718) 435-4700

6024 14th Ave
Ste 2
Brooklyn, NY 11219
Phone 7184354700220

620 Foster Ave
Fl 4
Brooklyn, NY 11230
Phone (718) 435-4700

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yechiel Landau Individual 5% Or Greater Direct Ownership Interest May 12, 2011 80%
Operational/Managerial Control May 12, 2011 80%
Yvette Sampson Henriquez Individual 5% Or Greater Direct Ownership Interest May 12, 2011 20%

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 47

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1205128147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6024 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195085",
            "telephone_number": "718-435-4700",
            "fax_number": "718-435-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6024 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195085",
            "telephone_number": "718-435-4700",
            "fax_number": "718-435-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STAR HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-435-4700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "072094B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "7001638",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03438497",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shining Star Home Health Care, LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shining Star Home Health Care, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.