Provider Demographics
NPI:1689990277
Name:SHINING STARS OF AMERICA, L.L.C.
Entity Type:Organization
Organization Name:SHINING STARS OF AMERICA, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERONICA
Authorized Official - Middle Name:YEVETTE
Authorized Official - Last Name:COONEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:501-681-0321
Mailing Address - Street 1:7120 FAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-7454
Mailing Address - Country:US
Mailing Address - Phone:501-681-0321
Mailing Address - Fax:
Practice Address - Street 1:7120 FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-7454
Practice Address - Country:US
Practice Address - Phone:501-681-0321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management