Provider Demographics
NPI:1508297037
Name:LUMINOUS HOSPICE CARE INC.
Entity Type:Organization
Organization Name:LUMINOUS HOSPICE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AVETIK
Authorized Official - Middle Name:
Authorized Official - Last Name:AROUTIOUIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-324-1902
Mailing Address - Street 1:7200 VINELAND AVE
Mailing Address - Street 2:UNIT 207
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-5089
Mailing Address - Country:US
Mailing Address - Phone:818-324-1902
Mailing Address - Fax:818-760-9147
Practice Address - Street 1:7200 VINELAND AVE
Practice Address - Street 2:UNIT 207
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-5089
Practice Address - Country:US
Practice Address - Phone:818-324-1902
Practice Address - Fax:818-760-9147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based