Shining Star Residential Facility, LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHINING STAR RESIDENTIAL FACILITY, LLC.

Practice address

1277 Highview Dr
Cedar Hill, TX 75104-5455

Phone

(469) 767-3139

Fax

(972) 759-9029

NPI assigned

Jan 22, 2020

Last updated

Nov 16, 2022By 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

Felistar Awhen

Title

Administrator

Phone

(469) 767-3139

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1588294193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 HIGHVIEW DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751045455",
            "telephone_number": "469-767-3139",
            "fax_number": "972-759-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 HIGHVIEW DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751045455",
            "telephone_number": "469-767-3139",
            "fax_number": "972-759-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STAR RESIDENTIAL FACILITY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "AWHEN",
        "authorized_official_first_name": "FELISTAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-767-3139"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.