Luminox Healthcare Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LUMINOX HEALTHCARE SERVICES LLC

Practice address

4001 Pendennis CT
Upper Marlboro, MD 20772-8304

Phone

(240) 553-7970

Fax

(347) 588-2943

NPI assigned

Mar 21, 2023

Last updated

Mar 21, 2023By 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

Olayemi Adurota, PMHNPNPI 1437524899

Title

President

Phone

(240) 825-9529

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 3

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.

• Olayemi Abiola Adurota, DNP, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
  • NPI 1437524899

  DC

  Medicare reassignment NPD Authorized official
• Babafemi Adeleke Adeniyi, MD

  • Hospitalist Physician
  • Largo, MD
  • NPI 1952985467
  NPD
• Faryaal Aamir, MD

  • Family Medicine Physician
  • Boonville, IN
  • NPI 1649581778
  NPD (past)

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1518669688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 PENDENNIS CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728304",
            "telephone_number": "240-553-7970",
            "fax_number": "347-588-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PENDENNIS CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728304",
            "telephone_number": "240-553-7970",
            "fax_number": "347-588-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOX HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "ADUROTA",
        "authorized_official_first_name": "OLAYEMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-825-9529",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Lloyd, LGSW
• Yvonna Jean Love, LCSW-C
• Lakresha Antoinette Lucas
• Karen Lugg, RN
• Luminis Health Medical Group, LLC
• Lawanda Lumpkin
• Symone Lyles
• Safi Khadija Lynch, L.C.S.W.-CLINICAL
• Shawnti Lee Lyon
• Mbome Harrington Lyonga

• Mental Health Clinic/Center (Including Community Mental Health Center) in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.