Shining Star LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SHINING STAR LLC

Practice address

1325 Cadillac Blvd
Detroit, MI 48214-3105

Phone

(313) 377-1849

Fax

(313) 557-2751

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Watt

Title

Ceo

Phone

(313) 377-1849

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1659678480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15122",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482150122",
            "telephone_number": "313-377-1849",
            "fax_number": "313-557-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 CADILLAC BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143105",
            "telephone_number": "313-377-1849",
            "fax_number": "313-557-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-377-1849",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Elizabeth Shimmel
• Jane Hae Soo Shin, DO MS
• Jin Shin
• Kesia Elise Shine, ND, MBA, BSHA/IS
• Shining Star LL
• Joni Shinn, LLMSW
• Shiny Rose Home Help Care Agency
• Melanie Shipley, LLMSW
• Nakeya Nichol Shipman
• Patricia Jeremy Shipman, NP

• Mental Illness Community Based Residential Treatment Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.