SHINE SENIOR CENTER (NPI# 1700261633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700261633 |
| Entity Type | Organization |
| Organization Name | SHINE SENIOR CENTER |
| Practice Address |
9198 Red Branch Rd Ste H Columbia MD 21045-2017 |
| Practice Telephone | 3013103067 |
| Practice Fax Number | 4107723933 |
| Mailing Telephone | 3013103067 |
| Mailing Fax Number | 4107723933 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |
| Authorized Official Name | SEONGBOK LEE (PRESIDENT) |
| Authorized Official Telephone | 3018217214 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
TBA | MD | Ambulatory Health Care Facilities |
| Street Address |
9198 RED BRANCH RD STE H |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658511 | Palmetto Oaks Adult Day Health Center | Clinic/Center | 6074 Saint Andrews Rd, Columbia, SC 29212-3120 | 2018-08-10 |
| 1639680333 | Close To Home, Ll | Clinic/Center | 1204 Rogers St Ste 101, Columbia, MO 65201-4736 | 2017-10-20 |
| 1477948354 | Bliss Adult Day Care | Clinic/Center | 203 N Providence Rd Ste 201, Columbia, MO 65203-4189 | 2015-03-30 |
| 1013350370 | Rainbow Terrace Adult Day Care Center, LLC | Clinic/Center | 9135 Guilford Rd, Suite 100, Columbia, MD 21046-2577 | 2013-04-16 |
| 1093054264 | Journey Adult Services Inc | Clinic/Center | 115 Gayle Pond Trce, Columbia, SC 29209-2728 | 2013-02-07 |
| 1811278443 | Team 3 Inc | Clinic/Center | 9075 Guilford Rd, Columbia, MD 21046-3145 | 2011-09-09 |
| 1548548704 | Rainbow of Howard County, LLC | Clinic/Center | 7277 Eden Brook Dr, Columbia, MD 21046-1497 | 2011-07-21 |
| 1427201557 | Dent,s Alternative Adult Daycare Health Services,llp | Clinic/Center | 7351 Parklane Rd, Columbia, SC 29223-7651 | 2008-11-03 |
| 1508057175 | Evergreen Senior Day Center | Clinic/Center | 9405 Guilford Rd, Columbia, MD 21046-1911 | 2007-08-07 |
| 1578616405 | Wilkerson Consulting Psc | Clinic/Center | 127 N Reed St, Columbia, KY 42728-1356 | 2007-01-22 |
| Find all providers in COLUMBIA | ||||
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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.