Organization Active NPI

Luminary Love LLC

  • Community/Behavioral Health Agency
  • North Charleston, SC
National Provider Identifier
1215532197
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LUMINARY LOVE LLC
Practice address
112 Ironwood TRL Apt F
North Charleston, SC 29418-2098
Phone
(843) 330-3810
NPI assigned
Dec 1, 2020
Organization subpart
Yes
Parent organization
LUMINARY LOVE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Patricia RaynorNPI 1396340899
Title
Owner/Operator
Phone
(843) 330-3810

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

112 Ironwood TRL Apt F
North Charleston, SC 29418-2098

Mailing address

PO Box 40914
North Charleston, SC 29423-0914
Phone (843) 876-1802

National Provider Directory

National Provider Directory
Part of
Luminary Love LLC

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": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1215532197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40914",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294230914",
            "telephone_number": "843-876-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 IRONWOOD TRL APT F",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294182098",
            "telephone_number": "843-330-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINARY LOVE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUMINARY LOVE LLC",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "843-330-3810"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.