Shining Star Home Care LLC
Director
							Robert Goodman, M.D.
			Expiration Date
							Phone Number
							(718) 435-4700
			UID (Facility ID - Site ID)
							D222-0000
			Site ID
							0000
			City
							Brooklyn
			CLIA Number
							33D2227374
			Street Address
							6024 14th Avenue, 2nd Floor
			State
							NY
			Zip Code
							11219
			County
							Kings
			Country
							United States
			Fax Number
							(718) 435-4775
			Primary Contact
							Chaim Hirsch
			Contact Phone Number
							(718) 435-4700
			Certificate Type
							WAIVER
			Tests
				Glucose
							Ketones
							Occult Blood
							pH
							Protime
					Facility ID
							D222
			