LUMINOUS CARE, LLC (NPI# 1467066639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467066639 |
Entity Type | Organization |
Organization Name | LUMINOUS CARE, LLC |
Practice Address |
285 Boulevard Ne Ste 145 Atlanta GA 30312-4204 |
Mailing Address |
1132 Liberty Pkwy Nw Atlanta GA 30318-9377 |
Practice Telephone | 8448849691 |
Practice Fax Number | 4049074052 |
Mailing Telephone | 4043546988 |
Enumeration Date | 2020-09-03 |
Last Update Date | 2020-09-11 |
Authorized Official Name | MS. ANDREA JEFFERSON-SABOOR (FNP) |
Authorized Official Telephone | 4043546988 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000899643 | 05 |
Street Address |
285 BOULEVARD NE STE 145 |
City | ATLANTA |
State | GA |
Zip Code | 30312-4204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
Find all providers in zip 30312 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1437625944 | Bowden Weight Loss Center | Clinic/Center | 3280 Howell Mill Rd Nw Ste 233, Atlanta, GA 30327-4100 | 2018-10-23 |
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1013468693 | Harmony Seal Corp | Clinic/Center | 400 Colony Sq Ne, Suite 200, Atlanta, GA 30361-6302 | 2016-10-19 |
1225407638 | Margaret Byrne | Clinic/Center | 2933 Townley Cir, Atlanta, GA 30340-4827 | 2015-09-16 |
1356738447 | Positive Balance Wellness Center @ Ben Hill United Methodist Church | Clinic/Center | 2099 Fairburn Rd Sw, Atlanta, GA 30331-4812 | 2015-04-16 |
1902297914 | Living Well Primary Care/urgent Care Clinic | Clinic/Center | 85 Peachtree Pl Nw, Atlanta, GA 30309-3828 | 2015-02-12 |
Find all providers in ATLANTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.