Capital City Shining Stars

LBN: Capital City Shining Stars
Capital City Shining Stars is an health care organization with primary practice located at 1201 Commerce St , Petersburg VA 23803-2904. The organization recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty. Capital City Shining Stars can be contacted via phone (804) 715-2621, or through Wills, Alicia Star via phone (804) 715-2621.

Contact Information

Primary practice address
1201 Commerce St Petersburg VA 23803-2904
Phone: (804) 715-2621
Fax: (804) 800-4250
Website:
Map and Directions
Authorized official contact:
Name: Wills, Alicia Star
Phone: (804) 715-2621

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1326675497
LBN Legal business name Capital City Shining Stars
DBA Doing business as
Authorized official Wills, Alicia Star
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2020
Last updated May 29th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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