SHINING STAR ASSIST LIVING
NPI 1306130851
Assisted Living Facility - Assisted Living, Mental Illness in Fairbanks, AK

Active since June 01, 2011
2941 WESTGATE PL, FAIRBANKS, AK 99709(907) 687-5944 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shining Star Assist Living NPPES

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

SHINING STAR ASSIST LIVING (NPI 1306130851) is a healthcare organization registered as an assisted living, mental illness in Fairbanks, Alaska and active in the NPI registry since June 2011. The organization lists Paul Micheal Worman, Owner, as its authorized official.

NPPES Registry Identity

NPI1306130851
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameSHINING STAR ASSIST LIVING
Location Address2941 WESTGATE PLFairbanks, AK 99709-4747
Mailing Address2941 Westgate PlFairbanks, AK 99709-4747 · (907) 687-5944
Organization SubpartNo
Authorized OfficialPaul Micheal WormanOwner · (907) 687-5944
Enumeration DateJune 1, 2011
✔ NPI 1306130851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
2941 WESTGATE PL, Fairbanks, AK 99709

Other Names 1

Doing Business AsShining Star Assist Living

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 Star Assist Living's NPI number?

The NPI number for Shining Star Assist Living is 1306130851. It was assigned to this organization in the NPPES registry on June 1, 2011.

Where is Shining Star Assist Living located?

Shining Star Assist Living is located at 2941 Westgate Pl, Fairbanks, AK 99709. The listed phone number is (907) 687-5944.

What is Shining Star Assist Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Shining Star Assist Living was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.