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SHINING STAR LL
NPI 1356648034
Community Based Residential Treatment Facility, Mental Illness in Detroit, MI

Active since February 16, 2011
533 MCDOUGALL ST, DETROIT, MI 48207(313) 567-0121 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shining Star Ll NPPES

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

SHINING STAR LL (NPI 1356648034) is a healthcare organization registered as a community based residential treatment facility, mental illness in Detroit, Michigan and active in the NPI registry since February 2011. The organization lists Stephanie Watt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356648034
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSHINING STAR LL
Location Address533 MCDOUGALL STDetroit, MI 48207-3912
Mailing Address3430 E Jefferson Ave, Suite # 401Detroit, MI 48207-4233 · (313) 377-1849 · Fax (313) 557-2751
Phone(313) 567-0121
Organization SubpartNo
Authorized OfficialStephanie WattCeo · (313) 377-1849
Enumeration DateFebruary 16, 2011
✔ NPI 1356648034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
533 MCDOUGALL ST, Detroit, MI 48207
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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 Ll's NPI number?

The NPI number for Shining Star Ll is 1356648034. It was assigned to this organization in the NPPES registry on February 16, 2011.

Where is Shining Star Ll located?

Shining Star Ll is located at 533 Mcdougall St, Detroit, MI 48207. The listed phone number is (313) 567-0121.

What is Shining Star Ll's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Shining Star Ll was last updated on February 16, 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.