Provider Demographics
NPI:1902604796
Name:LUMINARY HOSPICE OF KANSAS CITY, LLC
Entity type:Organization
Organization Name:LUMINARY HOSPICE OF KANSAS CITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-864-8820
Mailing Address - Street 1:9200 WARD PKWY STE 320
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-3372
Mailing Address - Country:US
Mailing Address - Phone:816-535-7662
Mailing Address - Fax:
Practice Address - Street 1:9200 WARD PKWY STE 320
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3372
Practice Address - Country:US
Practice Address - Phone:816-535-7662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based