Provider Demographics
NPI:1467128561
Name:LUXOR HOME HEALTH, INC.
Entity type:Organization
Organization Name:LUXOR HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OF THE BOARD
Authorized Official - Prefix:
Authorized Official - First Name:AYESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKUTEIFANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-557-4187
Mailing Address - Street 1:16404 COLIMA RD STE 205
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-5502
Mailing Address - Country:US
Mailing Address - Phone:626-557-4187
Mailing Address - Fax:
Practice Address - Street 1:16404 COLIMA RD STE 205
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-5502
Practice Address - Country:US
Practice Address - Phone:626-557-4187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMZ HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-18
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health