Shining Star

LBN: Shining Star
Shining Star is an health care organization with primary practice located at 378 Appaloosa Dr , Spring Lake NC 28390-8504. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Shining Star can be contacted via phone (910) 904-6699, or through Haqq, David via phone (910) 978-8599.

Contact Information

Primary practice address
378 Appaloosa Dr Spring Lake NC 28390-8504
Phone: (910) 904-6699
Fax: (910) 904-1879
Website:
Map and Directions
Authorized official contact:
Name: Haqq, David
Phone: (910) 978-8599

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-043-045 North Carolina

Profile Details

NPI number 1134226160
LBN Legal business name Shining Star
DBA Doing business as Shining Star
Authorized official Haqq, David
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 22nd, 2008 - about 16 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 1134226160 NPPES
North Carolina MEDICAID 6603538

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