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

NPI Status: Active since October 21, 2020

Contact Information

5201 RAVENSWOOD RD STE 110
FT LAUDERDALE, FL
ZIP 33312
Phone: (786) 496-0287

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  • Organization
  • Clinic/Center
  • Medically Fragile Infants and Children D...
  • CLIA Number: 10D2237441
  • CLIA Cert. Type: Other - PRESCRIBED EXTENDED CARE
  • CLIA Exp. Date: 09-23-2027

About SHINING STARS PEDIATRIC EXTENDED CARE, LLC

This page provides the complete NPI Profile along with additional information for Shining Stars Pediatric Extended Care, Llc, a provider established in Ft Lauderdale, Florida operating as a Clinic/center, focusing in medically fragile infants and children day care . The healthcare provider is registered in the NPI registry with number 1326647363 assigned on October 2020. The practitioner's primary taxonomy code is 261QM3000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mrs. Natalie Martinez (Title Manager)

NPI
1326647363
Provider Name
SHINING STARS PEDIATRIC EXTENDED CARE, LLC
Entity Type
Organization
Location Address
5201 RAVENSWOOD RD STE 110 FT LAUDERDALE, FL 33312
Location Phone
(786) 496-0287
Mailing Address
6840 SW 14TH ST MIAMI, FL 33144
Mailing Phone
(305) 458-8688
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-21-2020
Last Update Date
11-08-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medically Fragile Infants and Children Day Care

Taxonomy Code
261QM3000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. NATALIE MARTINEZ

Authorized Official Title
TITLE MANAGER
Authorized Official Phone
(305) 458-8688

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2237441
Facility Type
Other - PRESCRIBED EXTENDED CARE
Certificate Effective Date
September 24, 2025
Certificate Expiration Date
September 23, 2027
Laboratory Director
STEPHANIE URBAN-GALVEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shining Stars Pediatric Extended Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1326647363, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 4 + 6 + 1 + 2 + 4 + 1 + 4 + 3 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1326647363.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326647363, enumerated as an "organization" on October 21, 2020.

The provider is located at 5201 RAVENSWOOD RD STE 110 FT LAUDERDALE, FL 33312 and the phone number is (786) 496-0287.

Clinic/Center with taxonomy code 261QM3000X and a focus in Medically Fragile Infants and Children Day Care.