SHINE ON ME INC. OF ILLINOIS
NPI 1538524236
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Park Forest, IL

Q: What is Shine On Me Inc. Of Illinois's NPI number?

The NPI number for Shine On Me Inc. Of Illinois is 1538524236. It was assigned to this organization in the NPPES registry on December 22, 2015.

Q: What is Shine On Me Inc. Of Illinois's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since December 22, 2015

153 NANTI ST, PARK FOREST, IL 60466(708) 506-3900 Get Directions Write a Review

NPPES record last updated: December 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shine On Me Inc. Of Illinois NPPES

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

SHINE ON ME INC. OF ILLINOIS (NPI 1538524236) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Park Forest, Illinois and active in the NPI registry since December 2015. The organization lists Roselyn Shine, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538524236

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameSHINE ON ME INC. OF ILLINOIS

Location Address153 NANTI STPark Forest, IL 60466-2529

Mailing Address153 Nanti StPark Forest, IL 60466-2529 · (708) 506-3900

Phone(708) 506-3900

Organization SubpartNo

Authorized OfficialRoselyn ShineCeo · (708) 743-7011

Enumeration DateDecember 22, 2015

✔ NPI 1538524236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in IL · 201400008C

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

153 NANTI ST, Park Forest, IL 60466

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Other Identifiers 1

Medicaid20150923983310IL

Other Providers at the Same Location NPPES

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

ROSELYN SHINE

Community/Behavioral Health

153 NANTI ST
PARK FOREST, IL 60466

Cook County (708) 743-7011

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 Shine On Me Inc. Of Illinois's NPI number?

The NPI number for Shine On Me Inc. Of Illinois is 1538524236. It was assigned to this organization in the NPPES registry on December 22, 2015.

Where is Shine On Me Inc. Of Illinois located?

Shine On Me Inc. Of Illinois is located at 153 Nanti St, Park Forest, IL 60466. The listed phone number is (708) 506-3900.

What is Shine On Me Inc. Of Illinois's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Shine On Me Inc. Of Illinois was last updated on December 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.