SHINING STAR ADULT CARE (NPI# 1376150383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376150383 |
| Entity Type | Organization |
| Organization Name | SHINING STAR ADULT CARE |
| Practice Address |
720 Rudy Dr Clayton NC 27520-5614 |
| Practice Telephone | 2403700666 |
| Mailing Telephone | 2403700666 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | MS. TONIA VANESSA BURTON (CEO) |
| Authorized Official Telephone | 2403700666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Shining Star Adult Care | Doing Business As Name - Organization |
| Street Address |
720 RUDY DR |
| City | CLAYTON |
| State | NC |
| Zip Code | 27520-5614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
| 1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| Find all providers in zip 27520 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1598325755 | Mirage Health Services LLC | Home Health | 147 Abruzzi Dr, Clayton, DE 19938-4209 | 2019-06-19 |
| 1508321415 | Joyce Beverly Wedderburn | Home Health | 147 Abruzzi Dr Apt D-17, Clayton, DE 19938-4209 | 2019-02-05 |
| 1760971931 | Attached To Home Ihs LLC | Home Health | 141 N Meramec Ave Ste 100, Clayton, MO 63105-3781 | 2018-05-03 |
| 1194254748 | Lashawnda Jones | Home Health | 6042 Cotillion Ct, Clayton, OH 45315-8701 | 2017-06-07 |
| 1770879678 | Heart 2 Hearts Home Care | Home Health | 2001 Sunny Way, Clayton, NC 27520-9326 | 2011-06-20 |
| 1770881989 | Jem Investments Ltd | Home Health | 7561b Jacks Ln, Clayton, OH 45315-8778 | 2011-03-11 |
| 1639381403 | New Beginings In-home Services LLC | Home Health | 200 South Hanley, Suite 403, Clayton, MO 63105 | 2007-05-04 |
| 1831311315 | Personal Touch Home Care of Mo, Inc. | Home Health | 141 North Meramac, #217, Clayton, MO 63105 | 2007-05-03 |
| 1902980220 | State of Alabama Department of Public Health | Home Health | 25 North Midway Street, Clayton, AL 36106 | 2006-10-24 |
| Find all providers in CLAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.