Provider Demographics
NPI:1013167071
Name:SHINNING CARE CORPORATION
Entity Type:Organization
Organization Name:SHINNING CARE CORPORATION
Other - Org Name:COMFORCARE SENIOR SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, SECRETARY & TRESURE
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-931-8431
Mailing Address - Street 1:22632 GOLDEN SPRINGS DR STE 330
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-4180
Mailing Address - Country:US
Mailing Address - Phone:866-931-8431
Mailing Address - Fax:909-396-8785
Practice Address - Street 1:22632 GOLDEN SPRINGS DR STE 330
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-4180
Practice Address - Country:US
Practice Address - Phone:866-931-8431
Practice Address - Fax:909-396-8785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health