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SHINING STAR HEALTHCARE SERVICES INC
NPI 1346949666
Clinic/Center - Developmental Disabilities in Bowie, MD

Active since February 24, 2023
16701 MELFORD BLVD STE 400, OFFICE # 452, BOWIE, MD 20715(410) 497-4917 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shining Star Healthcare Services Inc NPPES

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

SHINING STAR HEALTHCARE SERVICES INC (NPI 1346949666) is a healthcare organization registered as a developmental disabilities in Bowie, Maryland and active in the NPI registry since February 2023. The organization lists Yolande Fomenky, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346949666
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameSHINING STAR HEALTHCARE SERVICES INC
Location Address16701 MELFORD BLVD STE 400, OFFICE # 452Bowie, MD 20715
Mailing Address16701 Melford Blvd Ste 400Bowie, MD 20715-4305 · (410) 497-4917
Phone(410) 497-4917
Organization SubpartNo
Authorized OfficialYolande FomenkyCeo · (410) 497-4917
Enumeration DateFebruary 24, 2023
NPPES CertifiedFebruary 24, 2023
✔ NPI 1346949666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
16701 MELFORD BLVD STE 400, OFFICE # 452, Bowie, MD 20715
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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 Healthcare Services Inc's NPI number?

The NPI number for Shining Star Healthcare Services Inc is 1346949666. It was assigned to this organization in the NPPES registry on February 24, 2023.

Where is Shining Star Healthcare Services Inc located?

Shining Star Healthcare Services Inc is located at 16701 Melford Blvd Ste 400, Office # 452, Bowie, MD 20715. The listed phone number is (410) 497-4917.

What is Shining Star Healthcare Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Shining Star Healthcare Services Inc was last updated on February 24, 2023. 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.