Shining Star Behavioral Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHINING STAR BEHAVIORAL SERVICES LLC

Practice address

18000 NW 2ND CT
Miami, FL 33169-4306

Phone

(786) 439-5798

Fax

(305) 974-2834

NPI assigned

Dec 11, 2017

Organization subpart

No

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

Authorized official

Name

Osmanny Herrera

Title

President

Phone

(786) 439-5798

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1457866659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 NW 2ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694306",
            "telephone_number": "786-439-5798",
            "fax_number": "305-974-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 NW 2ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694306",
            "telephone_number": "786-439-5798",
            "fax_number": "305-974-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STAR BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "OSMANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-439-5798"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maria Rosales Shipes, ARNP BC
• Sara Shir, MD
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• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

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