NPIMap

Organization Active NPI

Luminate Home Care, LLC

  • In Home Supportive Care Agency
  • Lake Odessa, MI
National Provider Identifier
1063243749
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LUMINATE HOME CARE, LLC
Practice address
930 4TH Ave
Lake Odessa, MI 48849-1003
Phone
(616) 755-0938
Fax
(888) 507-5736
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott NeebNPI 1114698222
Title
Owner
Phone
(616) 841-9037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

930 4TH Ave
Lake Odessa, MI 48849-1003

Mailing address

930 4TH Ave
Lake Odessa, MI 48849-1003
Phone (616) 755-0938

Other names 1

  • Luminate Home Care, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

930 4th Ave
Lake Odessa, MI 48849
Phone (616) 755-0938

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1063243749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 4TH AVE",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491003",
            "telephone_number": "616-755-0938",
            "fax_number": "888-507-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 4TH AVE",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491003",
            "telephone_number": "616-755-0938",
            "fax_number": "888-507-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINATE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "NEEB",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-841-9037"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luminate Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Odessa, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.