Organization Active NPI

Shinystars Homecare LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1891551248
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHINYSTARS HOMECARE LLC
Practice address
1409 Washington Ave Ste 211
Saint Louis, MO 63103-1936
Phone
(314) 798-5881
Fax
(314) 866-8087
NPI assigned
Feb 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Alissha Renee MitchellNPI 1225725385
Title
Manager
Phone
(314) 798-5881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1409 Washington Ave Ste 211
Saint Louis, MO 63103-1936

Mailing address

1409 Washington Ave Ste 211
Saint Louis, MO 63103-1936
Phone (314) 798-5881

Other names 1

  • ShinyStars HomeCare LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1409 Washington Ave
Ste 211
Saint Louis, MO 63103
Phone (314) 798-5881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1891551248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 211",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031936",
            "telephone_number": "314-798-5881",
            "fax_number": "314-866-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 211",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031936",
            "telephone_number": "314-798-5881",
            "fax_number": "314-866-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINYSTARS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ALISSHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-798-5881"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ShinyStars HomeCare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.