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SHINE ADULT CARE LLC
NPI 1801627807
Community/Behavioral Health in Charlotte, NC

Active since August 12, 2024
10926 DAVID TAYLOR DR STE 102, CHARLOTTE, NC 28262(980) 217-3340 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shine Adult Care Llc NPPES

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

SHINE ADULT CARE LLC (NPI 1801627807) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since August 2024. The organization lists Jacquetta Reshon Coleman, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1801627807
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSHINE ADULT CARE LLC
Location Address10926 DAVID TAYLOR DR STE 102Charlotte, NC 28262-1042
Mailing Address10926 David Taylor Dr Ste 120Charlotte, NC 28262-0039 · (980) 217-3340
Phone(980) 217-3340
Organization SubpartNo
Authorized OfficialJacquetta Reshon ColemanOwner/ceo · (704) 906-2017
Enumeration DateAugust 12, 2024
Last NPPES UpdateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
✔ NPI 1801627807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
10926 DAVID TAYLOR DR STE 102, Charlotte, NC 28262
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Other Names 1

Doing Business AsShine Adult Care Llc

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 Adult Care LLC's NPI number?

The NPI number for Shine Adult Care LLC is 1801627807. It was assigned to this organization in the NPPES registry on August 12, 2024.

Where is Shine Adult Care LLC located?

Shine Adult Care LLC is located at 10926 David Taylor Dr Ste 102, Charlotte, NC 28262. The listed phone number is (980) 217-3340.

What is Shine Adult Care LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Shine Adult Care LLC was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.