Shining Star in Fayetteville - Residential Treatment Facility, Emotionally Disturbed Children
Shining Star - NPI 1134226160
Shining Star is a Residential Treatment Facility, Emotionally Disturbed Children in Fayetteville, North Carolina. Shining Star practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Shining Star is 1134226160. The last update date is 2008-04-22.
Shining Star's current location address is Po Box 2744, Fayetteville, North Carolina. You can contact this provider via phone number 9109046699 and fax number 9109041879. The mailing address for Shining Star is Po Box 2744, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shining Star |
|---|---|
| Address | Po Box 2744, Fayetteville, North Carolina |
| Phone Number | 9109046699 |
| Fax Number | 9109041879 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Haqq David |
| Telephone Number | 9109788599 |
NPI Number Detail
| NPI Number | 1134226160 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | Po Box 2744 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283022744 |
| Phone Number | 9109046699 |
| Fax Number | 9109041879 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-043-045 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603538 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shining Star?
The Shining Star has been issued the NPI (National Provider Identifier) 1134226160 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Shining Star is located?
The Shining Star is situated at the following address: Po Box 2744, Fayetteville, NC, 283022744.
What is the Shining Star's specialty and taxonomy code?
The Shining Star's specialty is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code is 322D00000X.
When did the Shining Star receive its 1134226160?
The Shining Star was issued its 1134226160 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Shining Star last refreshed?
The information related to the Shining Star, including its address, specialty, and other relevant details, was last updated on 2008-04-22.
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