SHINELIGHT, INC
NPI 1417370545
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fayetteville, NC

NPI Status: Active since January 24, 2014

Contact Information

203 ROWAN ST
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 257-6406

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About SHINELIGHT, INC

This page provides the complete NPI Profile along with additional information for Shinelight, Inc, a provider established in Fayetteville, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1417370545 assigned on January 2014. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Ms. Nikki Giovanni Creecy (Ceo)

NPI
1417370545
Provider Name
SHINELIGHT, INC
Entity Type
Organization
Location Address
203 ROWAN ST FAYETTEVILLE, NC 28301
Location Phone
(910) 257-6406
Mailing Address
203 ROWAN ST FAYETTEVILLE, NC 28301
Mailing Phone
(910) 257-6406
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-24-2014
Last Update Date
04-21-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 
2253Z00000XAgencies

In Home Supportive Care

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. NIKKI GIOVANNI CREECY

Authorized Official Title
CEO
Authorized Official Phone
(910) 257-6406

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3418071MEDICAID (05)NC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417370545
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
242767058
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 6 + 7 + 0 + 5 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1417370545 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417370545, enumerated in the NPI registry as an "organization" on January 24, 2014

The provider is located at 203 Rowan St Fayetteville, Nc 28301 and the phone number is (910) 257-6406

This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 24, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.