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

Shining Star Healthcare Services Inc

Organization Developmental Disabilities Clinic/Center · NPI 1346949666

Shining Star Healthcare Services Inc is a Developmental Disabilities Clinic/Center in Bowie, Maryland. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16701 Melford Blvd Ste 400 Ofc # 452
Bowie, MD 20715
Phone: (410) 497-4917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X

Record details

NPI number1346949666
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yolande Fomenky — Ceo · (410) 497-4917
NPI enumeratedFebruary 24, 2023
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 24, 2023
Mailing address16701 Melford Blvd Ste 400, Bowie, MD 20715-4305

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