Luz Divina Home Care Agency

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

LUZ DIVINA HOME CARE AGENCY

Practice address

236 N 15TH St
Allentown, PA 18102-3673

Phone

(610) 437-2220

Fax

(610) 437-2276

NPI assigned

Dec 31, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Angel Portorreal, AAS

Title

Administrator

Phone

(610) 618-0557

Specialties & licenses 1

Addresses

Tax ID family

Luz Divina Home Care Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Luz Divina Home Care Agency L.L.C

  • In Home Supportive Care Agency
  • Allentown, PA
  • NPI 1053542738
  NPD tax ID

Locations

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1487984126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N 15TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023673",
            "telephone_number": "610-437-2220",
            "fax_number": "610-437-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N 15TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023673",
            "telephone_number": "610-437-2220",
            "fax_number": "610-437-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ DIVINA HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "PORTORREAL",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-618-0557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AAS"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Francine Lutz, DO
• Ronald Lutz, MD
• Tiffany Lutz, LSW
• Luxottica of America Inc
• Luxottica of America Inc.
• Luz Divina Home Care Agency L.L.C
• LVHN Coordinated Professional Practice
• LVHN Coordinated Professional Practice
• LVHN Coordinated Professional Practice
• LVHN Coordinated Professional Practice

• Adult Care Home Facility in Allentown, PA
• Providers in Allentown, PA by specialty
• Adult Care Home Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.