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SHINE A LIGHT FOUNDATION
NPI 1629765599
Case Manager/Care Coordinator in Las Vegas, NV

Active since April 20, 2023
2330 HIGHLAND DR STE 205, LAS VEGAS, NV 89102(725) 222-4654 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shine A Light Foundation NPPES

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

SHINE A LIGHT FOUNDATION (NPI 1629765599) is a healthcare organization registered as a case manager/care coordinator in Las Vegas, Nevada and active in the NPI registry since April 2023. The organization lists Jimmy Durbin, Clinical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1629765599
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameSHINE A LIGHT FOUNDATION
Location Address2330 HIGHLAND DR STE 205Las Vegas, NV 89102-4810
Mailing Address2330 Highland Dr Ste 205Las Vegas, NV 89102-4810 · (702) 863-4704
Phone(725) 222-4654
Organization SubpartNo
Authorized OfficialJimmy DurbinClinical Supervisor · (702) 883-4464
Enumeration DateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1629765599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2330 HIGHLAND DR STE 205, Las Vegas, NV 89102
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 A Light Foundation's NPI number?

The NPI number for Shine A Light Foundation is 1629765599. It was assigned to this organization in the NPPES registry on April 20, 2023.

Where is Shine A Light Foundation located?

Shine A Light Foundation is located at 2330 Highland Dr Ste 205, Las Vegas, NV 89102. The listed phone number is (725) 222-4654.

What is Shine A Light Foundation's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Shine A Light Foundation was last updated on April 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.