SHINE HOMES LLC (NPI# 1396996781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396996781 |
| Entity Type | Organization |
| Organization Name | SHINE HOMES LLC |
| Practice Address |
802 Dahlia St Nw Washington DC 20012-2308 |
| Practice Telephone | 2404167947 |
| Practice Fax Number | 3018614109 |
| Mailing Telephone | 2404167947 |
| Mailing Fax Number | 3018614109 |
| Enumeration Date | 2008-10-04 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | ADESHINA JOHN ADEWALE (PRESIDENT) |
| Authorized Official Telephone | 2404167947 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Street Address |
802 DAHLIA ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20012-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063985265 | Nicolette Soden | Speech-Language Pathologist | 5629 3rd Street Northwest, Washington, DC 20012 | 2019-01-10 |
| 1437637824 | Victoria Estefany Vasquez | Technician | 6600 Georgia Ave Nw Apt 1b, Washington, DC 20012 | 2018-07-30 |
| 1336646181 | King Health Systems LLC | Homemaker | 7826 Eastern Ave Nw Ste Ll18, Washington, DC 20012 | 2018-04-09 |
| 1336644483 | Swaville Health Care Group, LLC | Home Health | 7836 Eastern Ave Nw Suite 411, Washington, DC 20012 | 2018-03-29 |
| 1235641697 | New Living Healthcare Services LLC | Home Health | 7600 Georgia Ave Nw Ste 403, Washington, DC 20012 | 2017-10-25 |
| 1255857405 | Kinara Health and Home Care Services LLC | Clinic/Center | 7603 Georgia Ave Nw Ste 301, Washington, DC 20012 | 2017-08-18 |
| 1639608029 | Atanga Cornelius Forbang | Home Health Aide | 7506 Georgia Avenue, Nw, Washington, DC 20012 | 2017-06-08 |
| 1437690484 | Sahsandra Asong Abangawoh I | Social Worker | 7600 Georgia Ave, #323, Washington, DC 20012 | 2017-03-10 |
| 1184167249 | Nnamdi Nweke | Home Health Aide | 7268 Eastern Avenue, 400, Washington, DC 20012 | 2016-11-22 |
| 1083161657 | Fongwi Gladys Epse Tah N Jong | Home Health Aide | 6856 Eastern Nw, #376, Washington, DC 20012 | 2016-09-01 |
| Find all providers in zip 20012 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831621317 | Shelia Hemsley | Preferred Provider Organization | 2350 Pitts Pl Se Apt 202, Washington, DC 20020-4988 | 2017-04-03 |
| 1811346521 | Kbc Home Health Care | Preferred Provider Organization | 1508 Neal St Ne Apt 1, Washington, DC 20002-3969 | 2016-06-03 |
| 1790046647 | Greater New Beginning Homes Inc. | Preferred Provider Organization | 1635 28th Place, Washington, DC 20020 | 2012-06-06 |
| 1801060900 | New Life Community Service, LLC | Preferred Provider Organization | 1403 Hamllin Street, N.e., Washington, DC 20017 | 2008-04-18 |
| 1841491628 | Eye Core LLC | Preferred Provider Organization | 1516 U Street, Nw #ll, Washington, DC 20009-8004 | 2007-05-30 |
| 1336225051 | Virginia M Thompson | Preferred Provider Organization | 2440 M St Nw Ste 420, Washington, DC 20037-1449 | 2006-10-27 |
| 1710088182 | Cesar Rudzki | Preferred Provider Organization | 1145 19th St Nw Ste 407, Washington, DC 20036-3716 | 2006-09-26 |
| 1629433248 | Serenity Workforce Development Institute | Preferred Provider Organization | 1629 K St Nw, Washington, DC 20006-1602 | 2015-12-26 |
| 1659644094 | Paradigm Chiropractic and Performance LLC | Preferred Provider Organization | 650 Pennsylvania Ave Se, Ste. 470, Washington, DC 20003-4318 | 2012-02-15 |
| 1922335561 | Bustos & Associates, LLC | Preferred Provider Organization | 1140 Varnum St Ne, Pmb 105, Washington, DC 20017-2151 | 2009-11-03 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20012 |
Please comment or provide details below to improve the information on SHINE HOMES LLC.
| 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.