Shining Stars LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

SHINING STARS LLC

Practice address

2862 S Day Lilly Dr
Saratoga Springs, UT 84045-6740

Phone

(801) 696-8897

NPI assigned

May 2, 2021

Organization subpart

No

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

Authorized official

Name

Fualupe Lydia Moungaloa

Title

Owner

Phone

(801) 696-8897

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619913600000",
    "number": "1225611866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2862 S DAY LILLY DR",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840456740",
            "telephone_number": "801-696-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2862 S DAY LILLY DR",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840456740",
            "telephone_number": "801-696-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STARS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A",
        "authorized_official_last_name": "MOUNGALOA",
        "authorized_official_first_name": "FUALUPE",
        "authorized_official_middle_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-696-8897"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Seamons
• Rachel Secretan
• Aisling June Shamy, RBT
• Dalen Carson Shepherd
• Courtney Brooke Shill Russell, DO
• Tyler Short, RBT
• Kathryn Simmons
• Emily Slade
• Miranda Small, M.S. CCC-SLP
• Brooklyn Smith, ATC

• Foster Care Agency in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Foster Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; 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.