Shining Star LL

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SHINING STAR LL

Practice address

533 McDougall St
Detroit, MI 48207-3912

Phone

(313) 567-0121

NPI assigned

Feb 16, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Watt

Title

Ceo

Phone

(313) 377-1849

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1356648034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E JEFFERSON AVE",
            "address_2": "SUITE # 401",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074233",
            "telephone_number": "313-377-1849",
            "fax_number": "313-557-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 MCDOUGALL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482073912",
            "telephone_number": "313-567-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STAR LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-377-1849",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asheirah-Ase Shiloh, CHW
• Allison Elizabeth Shimmel
• Jane Hae Soo Shin, DO MS
• Jin Shin
• Kesia Elise Shine, ND, MBA, BSHA/IS
• Shining Star LLC
• Joni Shinn, LLMSW
• Shiny Rose Home Help Care Agency
• Melanie Shipley, LLMSW
• Nakeya Nichol Shipman

• Mental Illness Community Based Residential Treatment Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.