Luminere Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LUMINERE HOSPICE, INC.

Practice address

7301 Topanga Canyon Blvd Ste 356
Canoga Park, CA 91303-3395

Phone

(818) 436-2170

NPI assigned

Mar 6, 2020

Last updated

Jan 23, 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

Maria Donna Santos

Title

Ceo

Phone

(818) 697-0219

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841825189. Details of each certification follow.

• CCN B41725 Hospice · Active · Details

Hospice certification: CCN B41725

Legal name

LUMINERE HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 14, 2022

Last certification

Feb 14, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

7301 Topanga Canyon Blvd
Ste 356
Canoga Park, CA 91303-1202

Listed as

Luminere Hospice, IncCCN B41725 · All quality measures

Certified

Feb 14, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Ronald Tang, DO

  • Hematology & Oncology Physician
  • Pasadena, CA
  • NPI 1609022383

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ronald Tang, DO

  • Hematology & Oncology Physician
  • Pasadena, CA
  • NPI 1609022383

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1841825189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 TOPANGA CANYON BLVD STE 356",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033395",
            "telephone_number": "818-436-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 TOPANGA CANYON BLVD STE 356",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033395",
            "telephone_number": "818-436-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINERE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MARIA DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-697-0219"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.