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SHININGSTAR INDEPENDENT LLC
NPI 1336769322
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Active since April 20, 2020
5146 N 11TH AVE APT D208, PHOENIX, AZ 85013(240) 374-2292 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shiningstar Independent Llc NPPES

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

SHININGSTAR INDEPENDENT LLC (NPI 1336769322) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, Arizona and active in the NPI registry since April 2020. The organization lists Lucia Olufunmilayo Ajayi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336769322
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSHININGSTAR INDEPENDENT LLC
Location Address5146 N 11TH AVE APT D208Phoenix, AZ 85013-2161
Mailing Address5146 N 11th Ave Apt D208Phoenix, AZ 85013-2161 · (240) 374-2292
Phone(240) 374-2292
Organization SubpartNo
Authorized OfficialLucia Olufunmilayo AjayiCeo · (240) 374-2292
Enumeration DateApril 20, 2020
NPPES CertifiedApril 20, 2020
✔ NPI 1336769322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedHome HealthTaxonomy 251E00000X
5146 N 11TH AVE APT D208, Phoenix, AZ 85013
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Other Providers at the Same Location NPPES

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

AYODELE AJAYI
Respiratory Therapist, Registered (General Care)
5146 N 11TH AVE APT D208
PHOENIX, AZ 85013
Maricopa County (240) 374-2584

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 Shiningstar Independent LLC's NPI number?

The NPI number for Shiningstar Independent LLC is 1336769322. It was assigned to this organization in the NPPES registry on April 20, 2020.

Where is Shiningstar Independent LLC located?

Shiningstar Independent LLC is located at 5146 N 11th Ave Apt D208, Phoenix, AZ 85013. The listed phone number is (240) 374-2292.

What is Shiningstar Independent LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Shiningstar Independent LLC was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.