Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SHINING HEARTS RESIDENTIAL TREATMENT CENTER LLC
Active
Organization
SHINING HEARTS RESIDENTIAL TREATMENT CENTER LLC
Active
Other names
Shining Hearts Residential Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JADA ALEXANDER (PRESIDENT)
(469) 401-8195
Entity
Organization
Contact information
Practice address
21352 N DENTON DR, MARICOPA, AZ 85138-9559
(469) 401-8195
Mailing address
44920 W HATHAWAY AVE UNIT 658, MARICOPA, AZ 85139-9937
(469) 401-8195
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers