ROSELYN SHINE
NPI 1962888511
Community/Behavioral Health in Park Forest, IL

Q: What is Roselyn Shine's NPI number?

The NPI number for Roselyn Shine is 1962888511. It was assigned to this individual provider in the NPPES registry on August 5, 2015.

Q: What is Roselyn Shine's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roselyn Shine was last updated on August 5, 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.

Active since August 05, 2015

153 NANTI ST, PARK FOREST, IL 60466(708) 743-7011(708) 506-3900 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Roselyn Shine NPPES

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

ROSELYN SHINE (NPI 1962888511) is an individual community/behavioral health provider in Park Forest, Illinois and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1962888511

Entity TypeIndividualFemale

Primary Taxonomy251S00000X

Provider Legal NameROSELYN SHINE

Location Address153 NANTI STPark Forest, IL 60466-2529

Mailing Address153 Nanti StPark Forest, IL 60466-2529 · (708) 743-7011 · Fax (708) 506-3900

Phone(708) 743-7011

Fax(708) 506-3900

Sole ProprietorYes

Enumeration DateAugust 5, 2015

✔ NPI 1962888511 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.

153 NANTI ST, Park Forest, IL 60466

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Other Providers at the Same Location NPPES

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

SHINE ON ME INC. OF ILLINOIS

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

153 NANTI ST
PARK FOREST, IL 60466

Cook County (708) 506-3900

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 Roselyn Shine's NPI number?

The NPI number for Roselyn Shine is 1962888511. It was assigned to this individual provider in the NPPES registry on August 5, 2015.

Where is Roselyn Shine located?

Roselyn Shine practices at 153 Nanti St, Park Forest, IL 60466. The listed phone number is (708) 743-7011.

What is Roselyn Shine'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 Roselyn Shine was last updated on August 5, 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.