Organization Active NPI

Luminous Life Care Services Inc

Doing business as LLS

  • Developmental Disabilities Clinic/Center
  • Washington, DC
National Provider Identifier
1841057171
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
LUMINOUS LIFE CARE SERVICES INC
Practice address
702 Oglethorpe St NE
Washington, DC 20011-2735
Phone
(202) 713-7890
NPI assigned
Mar 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Chimezie F Onyima, CEO
Title
Director
Phone
(240) 491-7953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

702 Oglethorpe St NE
Washington, DC 20011-2735

Mailing address

13607 Wood Ember Dr
Upper Marlboro, MD 20774-4201
Phone (240) 491-7953

Other names 1

  • LLS Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1841057171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13607 WOOD EMBER DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744201",
            "telephone_number": "240-491-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 OGLETHORPE ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200112735",
            "telephone_number": "202-713-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOUS LIFE CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "ONYIMA",
        "authorized_official_first_name": "CHIMEZIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-491-7953",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LLS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.