Shining Light Healthcare Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SHINING LIGHT HEALTHCARE SERVICES

Practice address

8306 Sagewood LN
Hazelwood, MO 63042-3223

Phone

(317) 708-6009

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By 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

Ashly Nicole Jackson

Title

Certified Manager

Phone

(314) 708-6009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1538064837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 SAGEWOOD LN",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423223",
            "telephone_number": "317-708-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8306 SAGEWOOD LN",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423223",
            "telephone_number": "317-708-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING LIGHT HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ASHLY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CERTIFIED MANAGER",
        "authorized_official_telephone_number": "314-708-6009"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.