Organization Active NPI

Shining Hope Corporation

  • Case Management Agency
  • Orlando, FL
National Provider Identifier
1639622079
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
M453-213-74-834-0 Issued in FL
Legal business name
SHINING HOPE CORPORATION
Practice address
3019 Mesa Verde Dr Apt 3105
Orlando, FL 32837-4387
Phone
(407) 409-9363
NPI assigned
Aug 2, 2016
Last updated
Aug 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Mrs. Eva Maria Melendez I, TCM
Title
Targeted Case Manager
Phone
(407) 409-9363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X M453-213-74-834-0 FL Primary

Addresses

Primary practice location

3019 Mesa Verde Dr Apt 3105
Orlando, FL 32837-4387

Mailing address

3019 Mesa Verde Dr Apt 3105
Orlando, FL 32837-4387
Phone (407) 409-9363

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1639622079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 MESA VERDE DR APT 3105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374387",
            "telephone_number": "407-409-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 MESA VERDE DR APT 3105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374387",
            "telephone_number": "407-409-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING HOPE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "TARGETED CASE MANAGER",
        "authorized_official_telephone_number": "407-409-9363",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "TCM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "M453-213-74-834-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.