Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shining Hearts Residential Treatment Center LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1205599016

Shining Hearts Residential Treatment Center LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maricopa, Arizona. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21352 N Denton Dr
Maricopa, AZ 85138-9559
Phone: (469) 401-8195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1205599016
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jada Alexander — President · (469) 401-8195
Other names Shining Hearts Residential Treatment Center
NPI enumeratedOctober 19, 2021
Last updated in NPPESOctober 19, 2021
Certification dateSeptember 1, 2021
Mailing address44920 W Hathaway Ave Unit 658, Maricopa, AZ 85139-9937

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