Shining Star Adult Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SHINING STAR ADULT CARE

Practice address

720 Rudy Dr
Clayton, NC 27520-5614

Phone

(240) 370-0666

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Tonia Vanessa Burton

Title

Ceo

Phone

(240) 370-0666

Specialties & licenses 1

Addresses

Other names 1

• Shining Star Adult Care Doing business as

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1376150383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 RUDY DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205614",
            "telephone_number": "240-370-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 RUDY DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205614",
            "telephone_number": "240-370-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STAR ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "TONIA",
        "authorized_official_middle_name": "VANESSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-370-0666",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shining Star Adult Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanisha A Shepherd
• Jillian Sherrin, CCC-SLP
• Shivani Sheth, PA-C
• Rahul A Shimpi, MD
• Julia Shingleton, M.S., SLP
• Stephanie Shipwash, MAOM, DACM, L. AC
• Anna Sholl
• Shraddha P. Kolappa DDS PA
• Jack M Sibrizzi, DPM
• Natalie Jo Siddoway, DMD

• Home Health Agency in Clayton, NC
• Providers in Clayton, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.