Shining Hearts Home Care of North Carolina LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC5010 Issued in NC

Legal business name

SHINING HEARTS HOME CARE OF NORTH CAROLINA LLC

Practice address

2064 Hunters Ridge Dr
Midway Park, NC 28544-1609

Phone

(910) 539-8800

NPI assigned

Apr 27, 2018

Last updated

Apr 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hannah Hunter

Title

Agency Director

Phone

(910) 939-0511

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1396233045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 HUNTERS RIDGE DR",
            "city": "MIDWAY PARK",
            "state": "NC",
            "postal_code": "285441609",
            "telephone_number": "910-539-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 HUNTERS RIDGE DR",
            "city": "MIDWAY PARK",
            "state": "NC",
            "postal_code": "285441609",
            "telephone_number": "910-539-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING HEARTS HOME CARE OF NORTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "910-939-0511"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC5010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE LICENSE",
            "identifier": "HC5010",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucille Gillard
• Destiny Guadalupe Leon
• Erin McCullen
• Melinda Sue Miller, N.P.
• Elizabeth Morales
• Karen Sue Slack, LPC
• Rosie Michelle Sonnier, MA, LCMHC
• Katherine Marie Swartele, PHARM.D.
• Ashley Janelle Thomas, RN, IBCLC
• Kathleen Lusk Woodul, LCSW

• Home Health Agency in Midway Park, NC
• Providers in Midway Park, 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 Apr 27, 2018; 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.