SHINING STAR LLC
NPI 1659678480
Community Based Residential Treatment Facility, Mental Illness in Detroit, MI

NPI Status: Active since February 14, 2011

Contact Information

1325 CADILLAC BLVD
DETROIT, MI
ZIP 48214
Phone: (313) 377-1849
Fax: (313) 557-2751

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About SHINING STAR LLC

This page provides the complete NPI Profile along with additional information for Shining Star Llc, a provider established in Detroit, Michigan operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1659678480 assigned on February 2011. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Ms. Stephanie Watt (Ceo)

NPI
1659678480
Provider Name
SHINING STAR LLC
Entity Type
Organization
Location Address
1325 CADILLAC BLVD DETROIT, MI 48214
Location Phone
(313) 377-1849
Location Fax
(313) 557-2751
Mailing Address
PO BOX 15122 DETROIT, MI 48215
Mailing Phone
(313) 377-1849
Mailing Fax
(313) 557-2751
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2011
Last Update Date
06-03-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. STEPHANIE WATT

Authorized Official Title
CEO
Authorized Official Phone
(313) 377-1849

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659678480
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2610912716416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 2 + 7 + 1 + 6 + 4 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1659678480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659678480, enumerated in the NPI registry as an "organization" on February 14, 2011

The provider is located at 1325 Cadillac Blvd Detroit, Mi 48214 and the phone number is (313) 377-1849

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on February 14, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.