Lumina Hospice and Palliative Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LUMINA HOSPICE AND PALLIATIVE CARE

Practice address

720 SW 4TH St
Corvallis, OR 97333-4426

Phone

(541) 757-9616

Fax

(541) 757-1760

NPI assigned

Jul 7, 2005

Last updated

Dec 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy BairdNPI 1568290807

Title

Executive Director

Phone

(541) 757-9616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164429817. Details of each certification follow.

• CCN 381519 Hospice · Active · Details

Hospice certification: CCN 381519

Legal name

LUMINA HOSPICE AND PALLIATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 13, 1991

Last certification

Sep 18, 2019

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Feb 15, 1979 in OR

Enrollment address

720 SW 4TH St
Corvallis, OR 97333-4426

Listed as

Lumina Hospice and Palliative CareCCN 381519 · All quality measures

Ownership

Non-Profit

Certified

Mar 13, 1991

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Helen S Kao, M.D.

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1184657330
  Medicare reassignment NPD
• Amy Kay Baird, LCSW

  • Clinical Social Worker
  • Albany, OR
  • NPI 1568290807
  NPD Authorized official
• Julie M Lemaster, LCSW

  • Clinical Social Worker
  • Corvallis, OR
  • NPI 1639054570
  NPD
• Jeanette Marie Hansen, B.S.

  • Social Worker
  • Albany, OR
  • NPI 1326256173
  NPD (past)
• Cosimo N. Storniolo, M.D.

  • Internal Medicine Physician
  • Albany, OR
  • NPI 1548298904
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Anne Marie Collum, DO

  • Internal Medicine Physician
  • Corvallis, OR
  • NPI 1629463237

  Hospice

  Care Compare affiliation
• Daniel K Harris, MD

  • Family Medicine Physician
  • Silverton, OR
  • NPI 1285723726

  Hospice

  Care Compare affiliation
• Helen S Kao, M.D.

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1184657330

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1164429817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334426",
            "telephone_number": "541-757-9616",
            "fax_number": "541-757-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334426",
            "telephone_number": "541-757-9616",
            "fax_number": "541-757-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA HOSPICE AND PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-757-9616"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Luczkiw
• Emma Marie Luedemann
• Judith Harbin Lujan, CADC1 CANDIDATE
• Holly Lulay, BS, QMHA
• Saraann Lum
• Allen Luong, PHARMD
• Lindsey Lutjens
• Brody Michael Lutt
• Nhi Luu
• Thien Chuong Richard Ly, MD

• Community Based Hospice Care Agency in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Community Based Hospice Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.