Provider Demographics
NPI:1316637465
Name:LUX SENIOR CARE CA LLC
Entity type:Organization
Organization Name:LUX SENIOR CARE CA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-286-2221
Mailing Address - Street 1:2800 PLEASANT HILL RD STE 120
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2003
Mailing Address - Country:US
Mailing Address - Phone:925-286-2221
Mailing Address - Fax:
Practice Address - Street 1:2800 PLEASANT HILL RD STE 120
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2003
Practice Address - Country:US
Practice Address - Phone:925-286-2221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care