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Shining Star

Emotionally Disturbed Childrens' Residential Treatment Facility in Spring Lake, NC · enumerated 2006 · authorized official David Haqq, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134226160

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Registry record

Entity type Organization (Type 2)
Legal business name Shining Star
Other name <Unavail>
Practice address 378 Appaloosa Dr, Spring Lake, NC, 28390
Fax (910) 904-1879
Enumeration date Sep 20, 2006
Last updated in NPPES Apr 22, 2008

Taxonomy & classification

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License MHL-043-045 (NC) Primary

Authorized official

Name David Haqq
Title Director

Other identifiers

Identifier Type State Issuer
6603538 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Shining Star?
Shining Star is registered in NPPES as a Emotionally Disturbed Childrens' Residential Treatment Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-22.