SHINING HEARTS RESIDENTIAL TREATMENT CENTER LLC - NPI 1205599016 - Residential Treatment Facility, Emotionally Disturbed Children in Maricopa, AZ

Q: What is Shining Hearts Residential Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

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About Shining Hearts Residential Treatment Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHINING HEARTS RESIDENTIAL TREATMENT CENTER LLC (NPI 1205599016), doing business as Shining Hearts Residential Treatment Center, is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Maricopa, Arizona and active in the NPI registry since October 2021. The organization lists Jada Alexander, President, as its authorized official.

NPPES Registry Identity

NPI1205599016

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameSHINING HEARTS RESIDENTIAL TREATMENT CENTER LLC

Location Address21352 N DENTON DRMaricopa, AZ 85138-9559

Mailing Address44920 W Hathaway Ave Unit 658Maricopa, AZ 85139-9937 · (469) 401-8195

Phone(469) 401-8195

Organization SubpartNo

Authorized OfficialJada AlexanderPresident · (469) 401-8195

Enumeration DateOctober 19, 2021

NPPES CertifiedSeptember 1, 2021

✔ NPI 1205599016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X

21352 N DENTON DR, Maricopa, AZ 85138

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Other Names 1

Doing Business AsShining Hearts Residential Treatment Center

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISION LAKES CONSULTING GROUP

Home Health

21352 N DENTON DR
MARICOPA, AZ 85138

Pinal County (602) 329-8973

GALEWIND GROUP

Home Health

21352 N DENTON DR
MARICOPA, AZ 85138

Pinal County (602) 329-8973

DENTON LAKES LLC

Home Health

21352 N DENTON DR
MARICOPA, AZ 85138

Pinal County (602) 329-8973

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shining Hearts Residential Treatment Center LLC's NPI number?

The NPI number for Shining Hearts Residential Treatment Center LLC is 1205599016. It was assigned to this organization in the NPPES registry on October 19, 2021. The provider is doing business as Shining Hearts Residential Treatment Center.

Where is Shining Hearts Residential Treatment Center LLC located?

Shining Hearts Residential Treatment Center LLC is located at 21352 N Denton Dr, Maricopa, AZ 85138. The listed phone number is (469) 401-8195.

What is Shining Hearts Residential Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Shining Hearts Residential Treatment Center LLC was last updated on October 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.