# SHINING STAR HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801204854
- **Authorized official:** CARMEN LAI (OWNER)
- **Authorized official phone:** (323) 327-8375

## Contact information

- **Practice address:** 10504 WEIGAND AVE, LOS ANGELES, CA 90002-3866
- **Practice address phone:** (323) 327-8375
- **Practice address fax:** (323) 357-5901
- **Mailing address:** PO BOX 131, SOUTH GATE, CA 90280-0131
- **Mailing address phone:** (323) 327-8375
- **Mailing address fax:** (323) 357-5901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2014
- **Last updated:** 07/22/2014