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SHINING STARS PEDIATRIC EXTENDED CARE, LLC
NPI 1326647363
Clinic/Center - Medically Fragile Infants and Children Day Care in Ft Lauderdale, FL

Active since October 21, 2020CLIA 10D2237441 · Waiver
5201 RAVENSWOOD RD STE 110, FT LAUDERDALE, FL 33312(786) 496-0287 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2022, Nov 3, 2022, Aug 5, 2022 and 1 more (4 updates tracked since 2020).

About Shining Stars Pediatric Extended Care, Llc NPPES

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

SHINING STARS PEDIATRIC EXTENDED CARE, LLC (NPI 1326647363) is a healthcare organization registered as a medically fragile infants and children day care in Ft Lauderdale, Florida and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Natalie Martinez, Title Manager, as its authorized official.

NPPES Registry Identity

NPI1326647363
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NameSHINING STARS PEDIATRIC EXTENDED CARE, LLC
Location Address5201 RAVENSWOOD RD STE 110Ft Lauderdale, FL 33312-6004
Mailing Address6840 Sw 14th StMiami, FL 33144-5531 · (305) 458-8688
Phone(786) 496-0287
Organization SubpartNo
Authorized OfficialNatalie MartinezTitle Manager · (305) 458-8688
Enumeration DateOctober 21, 2020
Last NPPES UpdateNovember 8, 20224 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
✔ NPI 1326647363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
Taxonomy Code261QM3000X
Definition
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
5201 RAVENSWOOD RD STE 110, Ft Lauderdale, FL 33312
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2237441

Shining Stars Pediatric Extended Care · Fort Lauderdale, FL
Active · expires Sep 23, 2027
CLIA Number10D2237441
Laboratory TypePrescribed Extended Care
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorStephanie Urban-Galvez
Laboratory Phone(786) 496-0287
Laboratory LocationShining Stars Pediatric Extended Care5201 Ravenswood Road, Suite 110, Fort Lauderdale, FL 33312
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Stars Pediatric Extended Care, LLC's NPI number?

The NPI number for Shining Stars Pediatric Extended Care, LLC is 1326647363. It was assigned to this organization in the NPPES registry on October 21, 2020.

Where is Shining Stars Pediatric Extended Care, LLC located?

Shining Stars Pediatric Extended Care, LLC is located at 5201 Ravenswood Rd Ste 110, Ft Lauderdale, FL 33312. The listed phone number is (786) 496-0287.

What is Shining Stars Pediatric Extended Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medically Fragile Infants and Children Day Care, with taxonomy code 261QM3000X.

Does Shining Stars Pediatric Extended Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2237441) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shining Stars Pediatric Extended Care, LLC was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.