Organization Active NPI

Shine Support Services, Corp.

  • Community/Behavioral Health Agency
  • Nebo, NC
National Provider Identifier
1841021607
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHINE SUPPORT SERVICES, CORP.
Practice address
252 NC Hwy 126
Nebo, NC 28761-7698
Phone
(828) 460-9960
NPI assigned
Aug 12, 2024
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Mrs. Taylor Pittman
Title
Ceo
Phone
(828) 460-9960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

252 NC Hwy 126
Nebo, NC 28761-7698

Mailing address

556 Sedona Dr
Nebo, NC 28761-7752
Phone (828) 460-9960

Other practice location 1

145 Lukin St
Marion, NC 28752-5246
Phone (828) 460-9960

Other practice location 2

82 Cemetary Rd
Nebo, NC 28761-9535
Phone (828) 460-9960

Other practice location 3

2121 Old Highway 10 E
Nebo, NC 28761-6708
Phone (828) 460-9960

National Provider Directory

National Provider Directory

Locations

2121 Old Highway 10 E
Nebo, NC 28761
Phone (828) 460-9960

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1841021607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 SEDONA DR",
            "city": "NEBO",
            "state": "NC",
            "postal_code": "287617752",
            "telephone_number": "828-460-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 NC HWY 126",
            "city": "NEBO",
            "state": "NC",
            "postal_code": "287617698",
            "telephone_number": "828-460-9960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Lukin St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287525246",
            "country_code": "US",
            "telephone_number": "828-460-9960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "82 Cemetary Rd",
            "address_purpose": "LOCATION",
            "city": "Nebo",
            "state": "NC",
            "postal_code": "287619535",
            "country_code": "US",
            "telephone_number": "828-460-9960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 Old Highway 10 E",
            "address_purpose": "LOCATION",
            "city": "Nebo",
            "state": "NC",
            "postal_code": "287616708",
            "country_code": "US",
            "telephone_number": "828-460-9960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHINE SUPPORT SERVICES, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-460-9960",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nebo, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.