Shiningstar Independent Llc - Phoenix, AZ

Shiningstar Independent Llc

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Phoenix, Arizona

NPI 1336769322

Shiningstar Independent Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Phoenix, AZ. Shiningstar Independent Llc practices in Phoenix, AZ. The NPI Number for Shiningstar Independent Llc is 1336769322 and holds a License No. (Arizona).

The current practice location address for Shiningstar Independent Llc is 5146 N 11Th Ave Apt D208, Phoenix, AZ and can be reached out via phone at 240-374-2292.

Location: 5146 N 11Th Ave Apt D208, Phoenix, AZ, 85013-2161

NPI Number

1336769322

Provider Name

Shiningstar Independent Llc

Credential

Provider Entity Type

Organization

Address

5146 N 11Th Ave Apt D208, Phoenix, AZ, 85013-2161

Phone Number

240-374-2292

Fax Number

Provider Enumeration Date

04/20/2020

Last Update Date

03/10/2024

Address

5146 N 11Th Ave Apt D208

City

Phoenix

State

Arizona

Zip

85013-2161

Phone Number

240-374-2292

Fax Number

Address

5146 N 11Th Ave Apt D208

City

Phoenix

State

Arizona

Zip

85013-2161

Phone Number

240-374-2292

Fax Number

Type

Agencies

Classification

Home Health

Speciality

Taxonomy

251E00000X

License No.

()

Definition

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.

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320600000X

License No.

()

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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