Active NPI
Lumika LLC.
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1376262980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- LUMIKA LLC.
- Practice address
- 6772 W Trumbull Rd
Phoenix, AZ 85043-0112 - Phone
- (602) 675-3816
- Fax
- (480) 571-7959
- NPI assigned
- Aug 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Kibuga
- Title
- Managing Partner
- Phone
- (508) 335-6024
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
6772 W Trumbull Rd
Phoenix, AZ 85043-0112
Mailing address
5680 Bradenton Rd
Cumming, GA 30040-1871
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ken.kibuga@lumikallc.com | Direct |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- ken.kibuga@lumikallc.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661385600000",
"number": "1376262980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5680 BRADENTON RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300401871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6772 W TRUMBULL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850430112",
"telephone_number": "602-675-3816",
"fax_number": "480-571-7959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMIKA LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-25",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A",
"authorized_official_last_name": "KIBUGA",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "508-335-6024"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ken.kibuga@lumikallc.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6772 W Trumbull Rd",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850430112",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.