Provider Demographics
NPI:1386479806
Name:LUMINARA HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:LUMINARA HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:COLTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:908-591-6814
Mailing Address - Street 1:1325 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:ROEBLING
Mailing Address - State:NJ
Mailing Address - Zip Code:08554-1624
Mailing Address - Country:US
Mailing Address - Phone:609-591-6814
Mailing Address - Fax:
Practice Address - Street 1:1325 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ROEBLING
Practice Address - State:NJ
Practice Address - Zip Code:08554-1624
Practice Address - Country:US
Practice Address - Phone:609-591-6814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health