Organization Active NPI

Shine Home Care LLC

  • In Home Supportive Care Agency
  • Brownstown, MI
National Provider Identifier
1528947165
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHINE HOME CARE LLC
Practice address
17158 Higdon Dr
Brownstown, MI 48193-1709
Phone
(734) 486-6697
NPI assigned
Aug 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Faisal Ejaz
Title
President
Phone
(734) 486-6697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

17158 Higdon Dr
Brownstown, MI 48193-1709

Mailing address

17158 Higdon Dr
Brownstown, MI 48193-1709

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1528947165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17158 HIGDON DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481931709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17158 HIGDON DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481931709",
            "telephone_number": "734-486-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "EJAZ",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-486-6697"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.