SHINELIGHT, INC
NPI 1417370545
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fayetteville, NC

Q: What is Shinelight, Inc's NPI number?

The NPI number for Shinelight, Inc is 1417370545. It was assigned to this organization in the NPPES registry on January 24, 2014.

Q: What is Shinelight, Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shinelight, Inc was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 24, 2014

203 ROWAN ST, FAYETTEVILLE, NC 28301(910) 257-6406 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2021, Sep 1, 2016 (2 updates tracked since 2016).

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About Shinelight, Inc NPPES

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

SHINELIGHT, INC (NPI 1417370545) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, North Carolina and active in the NPI registry since January 2014. The organization lists Nikki Giovanni Creecy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417370545

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameSHINELIGHT, INC

Location Address203 ROWAN STFayetteville, NC 28301-4921

Mailing Address203 Rowan StFayetteville, NC 28301-4921 · (910) 257-6406

Phone(910) 257-6406

Organization SubpartYesParent: Shinelight, Inc.

Authorized OfficialNikki Giovanni CreecyCeo · (910) 257-6406

Enumeration DateJanuary 24, 2014

Last NPPES UpdateApril 21, 20212 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1417370545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

203 ROWAN ST, Fayetteville, NC 28301

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Other Identifiers 1

Medicaid3418071NC

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 Shinelight, Inc's NPI number?

The NPI number for Shinelight, Inc is 1417370545. It was assigned to this organization in the NPPES registry on January 24, 2014.

Where is Shinelight, Inc located?

Shinelight, Inc is located at 203 Rowan St, Fayetteville, NC 28301. The listed phone number is (910) 257-6406.

What is Shinelight, Inc'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 Shinelight, Inc was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.