OrganizationActive
Shiningstar Independent LLC
NPI 1336769322 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Phoenix, AZ
Provider details
- NPI number
- 1336769322
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lucia Ajayi, Ceo(240) 374-2292
Specialties & taxonomies
Residential Treatment Facilities
- Home Health Agency251E00000X
Agencies
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5146 N 11th Ave Apt D208
Phoenix, AZ 85013-2161
Phone: (240) 374-2292
Street-level locationGet directions
Mailing address
5146 N 11th Ave Apt D208
Phoenix, AZ 85013-2161
Registry dates
- Enumerated
- 2020-04-20
- Last updated
- 2020-04-20
- Certified
- 2020-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.