Organization Active NPI

Shining Star Home Care

  • In Home Supportive Care Agency
  • Los Angeles, CA
National Provider Identifier
1801204854
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHINING STAR HOME CARE
Practice address
10504 Weigand Ave
Los Angeles, CA 90002-3866
Phone
(323) 327-8375
Fax
(323) 357-5901
NPI assigned
Jul 22, 2014
Last updated
Jul 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Carmen Lai
Title
Owner
Phone
(323) 327-8375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10504 Weigand Ave
Los Angeles, CA 90002-3866

Mailing address

PO Box 131
South Gate, CA 90280-0131
Phone (323) 327-8375

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1801204854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902800131",
            "telephone_number": "323-327-8375",
            "fax_number": "323-357-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10504 WEIGAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900023866",
            "telephone_number": "323-327-8375",
            "fax_number": "323-357-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STAR HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-327-8375"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.