THE LUMINOUS CARE LLC (NPI# 1629611520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629611520 |
| Entity Type | Organization |
| Organization Name | THE LUMINOUS CARE LLC |
| Practice Address |
2301 W Sample Road Bldg 4 Suite 1a Pompano Beach FL 33073 |
| Mailing Address |
8050 N University Dr Ste 207 Tamarac FL 33321-2102 |
| Practice Telephone | 9542631514 |
| Mailing Telephone | 9545864376 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | JAYESH DAVE (MBR) |
| Authorized Official Telephone | 9542631514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
2301 W SAMPLE ROAD BLDG 4 SUITE 1A |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871974774 | Leonides Perez | Counselor | 2301 W Sample Road, Bldg 4 Suite 1a, Pompano Beach, FL 33073 | 2015-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
| 1811506173 | Josee Helene Beaudry | Registered Nurse | 7700nw 48th Ave, Coconut Creek, FL 33073 | 2020-07-23 |
| 1700426210 | Stanback Enterprises LLC | Behavioral Analyst | 5561 North Winston Park Boulevard, Apartment 203, Coconut Creek, FL 33073 | 2020-01-13 |
| 1336701101 | Elissa N Tricoche | Behavior Technician | 5500 Hillsboro Blvd, Suite 208, Coconut Creek, FL 33073 | 2019-07-02 |
| 1124683677 | Vedrine Healthcare, LLC | Family Medicine | 6350 Nw 41st Terrace, Pompano Beach, FL 33073 | 2019-05-09 |
| 1518420058 | Balance Wellness Therapy Inc | Massage Therapist | 5853 Nw 40th Ave, Coconut Creek, FL 33073 | 2019-04-11 |
| 1497231336 | Brcastrong Corp | Health Educator | 4535 Nw 50th Court, Coconut Creek, FL 33073 | 2018-07-13 |
| 1851885156 | Cintia D Kopecny | Dentist | 5350 W Hillsboro Blvd Ste 201, Coconut Creek, FL 33073 | 2018-06-20 |
| 1720576721 | Sherell Breus | Driver | 4911 W Sample Rd, Coconut Creek, FL 33073 | 2018-04-25 |
| 1376053769 | Christiane Santana | Acupuncturist | 2300 W Sample Rd Ste 213, Pompano Beach, FL 33073 | 2017-10-11 |
| Find all providers in zip 33073 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
| 1144710625 | Empower Detox and Recovery Center | Substance Abuse Rehabilitation Facility | 2500 N Powerline Rd Ste 7, Pompano Beach, FL 33069-1049 | 2018-05-10 |
| 1154868388 | Ocean Spirit Recovery | Substance Abuse Rehabilitation Facility | 1301 N Ocean Blvd, Pompano Beach, FL 33062-3449 | 2017-01-25 |
| 1598201444 | The Retreat of Broward, Inc. | Substance Abuse Rehabilitation Facility | 100 Nw 17th Ave, Pompano Beach, FL 33069-2814 | 2017-01-17 |
| 1841663770 | Our Place | Substance Abuse Rehabilitation Facility | 2301 W Sample Rd Bldg 4, Ste 1b & 2b, Pompano Beach, FL 33073-3081 | 2015-10-30 |
| 1003288473 | Treatment Solutions of South Florida | Substance Abuse Rehabilitation Facility | 3685 N Federal Hwy, Pompano Beach, FL 33064-6666 | 2015-10-26 |
| 1518358803 | Holistix By The Sea, LLC | Substance Abuse Rehabilitation Facility | 3217 Ne 9th St, Pompano Beach, FL 33062-4069 | 2015-02-09 |
| 1881096360 | The Central Fact, Inc. | Substance Abuse Rehabilitation Facility | 2691 Ne 17th St, Pompano Beach, FL 33062-3212 | 2014-09-16 |
| 1760816706 | Cornerstone Recovery Inc. | Substance Abuse Rehabilitation Facility | 4130 Ne 2nd Ave, Pompano Beach, FL 33064-3508 | 2013-08-27 |
| 1992004907 | Digi Psychotherapy Services, Inc. | Substance Abuse Rehabilitation Facility | 3401 Spring St, 2nd Floor, Pompano Beach, FL 33062-2932 | 2011-03-17 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33073 |
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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.