Shaping Stars Llc

LBN: Shaping Stars Llc
Shaping Stars Llc is an health care organization with primary practice located at 11296 Sw 17Th Ct , Miramar FL 33025-6601. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Shaping Stars Llc can be contacted via phone (954) 559-3759, or through Olivares Vargas, Andrea via phone (954) 559-3759.

Contact Information

Primary practice address
11296 Sw 17Th Ct Miramar FL 33025-6601
Phone: (954) 559-3759
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olivares Vargas, Andrea
Phone: (954) 559-3759

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1639768997
LBN Legal business name Shaping Stars Llc
DBA Doing business as
Authorized official Olivares Vargas, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2021
Last updated Jan 12th, 2021 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1639768997 NPPES
Florida MEDICAID 1346882370

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