Provider Demographics
NPI:1467040956
Name:LUMINOUS HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:LUMINOUS HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KAIRA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:407-234-5419
Mailing Address - Street 1:471 WINDMILL PALM CIR
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-3510
Mailing Address - Country:US
Mailing Address - Phone:407-234-5419
Mailing Address - Fax:
Practice Address - Street 1:471 WINDMILL PALM CIR
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3510
Practice Address - Country:US
Practice Address - Phone:407-234-5419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-09
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLL20000331933OtherARTICLES OF ORGANIZATION DOCUMENT