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SHINE SENIOR CENTER
NPI 1700261633
Clinic/Center - Adult Day Care in Columbia, MD

Active since July 21, 2015CLIA 21D2099639 · Waiver
9198 RED BRANCH RD STE H, COLUMBIA, MD 21045(301) 310-3067(410) 772-3933 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shine Senior Center NPPES

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

SHINE SENIOR CENTER (NPI 1700261633) is a healthcare organization registered as an adult day care in Columbia, Maryland and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Seongbok Lee, President, as its authorized official.

NPPES Registry Identity

NPI1700261633
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameSHINE SENIOR CENTER
Location Address9198 RED BRANCH RD STE HColumbia, MD 21045-2017
Mailing Address9198 Red Branch Rd Ste HColumbia, MD 21045-2017 · (301) 310-3067 · Fax (410) 772-3933
Phone(301) 310-3067
Fax(410) 772-3933
Organization SubpartNo
Authorized OfficialSeongbok LeePresident · (301) 821-7214
Enumeration DateJuly 21, 2015
✔ NPI 1700261633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License✔ Licensed in MD · TBA
9198 RED BRANCH RD STE H, Columbia, MD 21045
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2099639

Shine Senior Center · Columbia, MD
Active · expires Jul 29, 2027
CLIA Number21D2099639
Laboratory TypeAdult Medical Day Care
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorSungwon Jang
Laboratory Phone(301) 310-3067
Laboratory LocationShine Senior Center9198 Red Branch Rd Ste H, Columbia, MD 21045
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SUNBEAM CARE REHAB SERVICES LLC
Physical Therapist
9198 RED BRANCH RD STE H
COLUMBIA, MD 21045
Howard County (240) 421-9614

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 Senior Center's NPI number?

The NPI number for Shine Senior Center is 1700261633. It was assigned to this organization in the NPPES registry on July 21, 2015.

Where is Shine Senior Center located?

Shine Senior Center is located at 9198 Red Branch Rd Ste H, Columbia, MD 21045. The listed phone number is (301) 310-3067.

What is Shine Senior Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Shine Senior Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2099639) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shine Senior Center was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.