Organization Active NPI

Luminance Support Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Baltimore, MD
National Provider Identifier
1831978543
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
LUMINANCE SUPPORT SERVICES
Practice address
216 E Lexington St
Baltimore, MD 21202-3501
Phone
(410) 801-9011
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Oluwakemi OgunseyeNPI 1043838949
Title
President
Phone
(301) 254-3524

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
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

216 E Lexington St
Baltimore, MD 21202-3501

Mailing address

216 E Lexington St
Baltimore, MD 21202-3501

National Provider Directory

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": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1831978543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E LEXINGTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E LEXINGTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023501",
            "telephone_number": "410-801-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINANCE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "OGUNSEYE",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-254-3524"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.