SHINING STAR HEALTHCARE SERVICES INC – NPI #1346949666
Clinic/Center

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Health Care Provider Taxonomy Code for Clinic/Center

SHINING STAR HEALTHCARE SERVICES INC is an AHC clinic located in BOWIE, MD. NPPES has assigned the NPI number 1346949666 to SHINING STAR HEALTHCARE SERVICES INC on February 24, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD1600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Developmental Disabilities

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHINING STAR HEALTHCARE SERVICES INC below.

NPI Profile for
SHINING STAR HEALTHCARE SERVICES INC

NPI Number
1346949666
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHINING STAR HEALTHCARE SERVICES INC
Primary location
16701 MELFORD BLVD STE 400, OFFICE # 452
BOWIE, MD 20715
Phone: (410) 497-4917 Fax:
Mailing address
16701 MELFORD BLVD STE 400
BOWIE, MD 20715-4305
Phone: (410) 497-4917 Fax:
Organization Subpart
No
Authorized Official
YOLANDE FOMENKY
CEO
Phone: (410) 497-4917
Updated
Certification Date
Feb 24, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD1600X
- Clinic/Center / Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.