Organization Active NPI

Shiningstarrs Home Care LLC

  • Home Health Agency
  • Lawrenceville, GA
National Provider Identifier
1386189231
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
16059683 Issued in GA
Legal business name
SHININGSTARRS HOME CARE LLC
Practice address
1880 Braselton Hwy
Suite 118 #5065
Lawrenceville, GA 30043-2852
Phone
(678) 404-6659
Fax
(678) 804-1852
NPI assigned
Jan 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Starr Unique Eady, CNA
Title
Owner
Phone
(678) 860-0792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 16059683 GA Primary

Addresses

Primary practice location

1880 Braselton Hwy
Suite 118 #5065
Lawrenceville, GA 30043-2852

Mailing address

1880 Braselton Hwy
Suite 118 #5065
Lawrenceville, GA 30043-2852
Phone (678) 404-6659

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1386189231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 BRASELTON HWY",
            "address_2": "SUITE 118 #5065",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432852",
            "telephone_number": "678-404-6659",
            "fax_number": "678-804-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 BRASELTON HWY",
            "address_2": "SUITE 118 #5065",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432852",
            "telephone_number": "678-404-6659",
            "fax_number": "678-804-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHININGSTARRS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "EADY",
        "authorized_official_first_name": "STARR",
        "authorized_official_middle_name": "UNIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-860-0792",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "16059683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.