Organization Active NPI

Lux Agency LLC

  • Community/Behavioral Health Agency
  • Fargo, ND
National Provider Identifier
1700601846
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LUX AGENCY LLC
Doing business as
Lux Home care
Practice address
4272 31St Ave S
Fargo, ND 58104-8725
Phone
(701) 200-3783
NPI assigned
Nov 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Desire Bizimana NkinzingaboNPI 1598590556
Title
Ceo
Phone
(701) 200-3783

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

4272 31St Ave S
Fargo, ND 58104-8725

Mailing address

4272 31St Ave S
Fargo, ND 58104-8725
Phone (701) 200-3783

Other names 1

  • Lux Home care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lux Agency LLC2 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.

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": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1700601846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4272 31ST AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048725",
            "telephone_number": "701-200-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4272 31ST AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048725",
            "telephone_number": "701-200-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "NKINZINGABO",
        "authorized_official_first_name": "DESIRE",
        "authorized_official_middle_name": "BIZIMANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-200-3783"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lux Home care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lux Home care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.