Organization Active NPI

Shining Lives LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Cedar Rapids, IA
National Provider Identifier
1427949114
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SHINING LIVES LLC
Practice address
3131 6TH St SW Apt 2
Cedar Rapids, IA 52404-4089
Phone
(607) 232-0419
NPI assigned
Jul 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Yannick Ndayisenga
Title
Ceo
Phone
(607) 232-0419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

3131 6TH St SW Apt 2
Cedar Rapids, IA 52404-4089

Mailing address

3131 6TH St SW Apt 2
Cedar Rapids, IA 52404-4089

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1427949114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 6TH ST SW APT 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524044089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 6TH ST SW APT 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524044089",
            "telephone_number": "607-232-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING LIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "NDAYISENGA",
        "authorized_official_first_name": "YANNICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "607-232-0419"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.