Shining Heart'S Home Health, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SHINING HEART'S HOME HEALTH, LLC

Practice address

5504 Brentwood Stair Rd
Fort Worth, TX 76112-2917

Phone

(817) 230-9066

Fax

(817) 496-9749

NPI assigned

Oct 23, 2014

Organization subpart

No

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

Authorized official

Name

Daizia B Sterling

Title

Owner

Phone

(817) 230-9066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1548665268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 BRENTWOOD STAIR RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122917",
            "telephone_number": "817-230-9066",
            "fax_number": "817-496-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 BRENTWOOD STAIR RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122917",
            "telephone_number": "817-230-9066",
            "fax_number": "817-496-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING HEART'S HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "DAIZIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-230-9066"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jonathan Shipley
• Pamela S Shipman, NP
• Courtney Shipp, LCSW
• Hope Shipp

• In Home Supportive Care Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.