MEDICARE: SHINING STAR LIVING SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1427359900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHINING STAR LIVING SERVICES, LLC

Provider Business Mailing Address
First Line	:	1844 PENMAN RD
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3734
Country	:	US
Telephone Number	:	989-657-9265
Fax Number	:	800-877-1567

Provider Business Practice Location Address
First Line	:	1844 PENMAN RD
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3734
Country	:	US
Telephone Number	:	989-657-9265
Fax Number	:	800-877-1567

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTINA JUNE FRENCH
Credential	:
Telephone Number	:	989-657-9265

Provider Enumeration Date	:	11/15/2010
Last Update Date	:	11/15/2010

Similar Medicare Providers

1346787728 — SHINING STARS APPLIED BEHAVIOR ANALYSIS CORP.
Practice Location Address:

1844 PENMAN RD
JACKSONVILLE BEACH, FL
32250-3734

Practice Phone: 904-755-0646
Practice Fax: 904-372-7620

1114467834 — DR. LOUIS R. LOTHMAN FL. LICENSED MARRIAG
Practice Location Address:

3734 SAN VISCAYA DR.
JACKSONVILLE, FL
32217

Practice Phone: 904-631-9198
Practice Fax:

1407671514 — ASHLEY N NELSON RN, FNC
Practice Location Address:

3734 REEDPOND DR N
JACKSONVILLE, FL
32223-4814

Practice Phone: 904-868-9304
Practice Fax:

1184758302 — DEBRA FRAZIER SMITH RN
Practice Location Address:

3968 ROSE AVE
LONG BEACH, CA
90807-3734

Practice Phone: 562-570-4283
Practice Fax:

1467602094 — SENSICARE OF SOUTH FLORIDA, INC.
Practice Location Address:

17027 W DIXIE HWY , SUITE 105
NORTH MIAMI BEACH, FL
33160-3734

Practice Phone: 305-947-9611
Practice Fax: 305-947-9644

1326282153 — WARREN V CARRIGAN III MD
Practice Location Address:

632 MAGNOLIA ST
NEPTUNE BEACH, FL
32266-3734

Practice Phone: 904-860-3761
Practice Fax: 904-249-9764

Directions to “SHINING STAR LIVING SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.