MEDICARE: LUMINOUS TECH PARTNERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1346178464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMINOUS TECH PARTNERS

Provider Business Mailing Address
First Line	:	1133 SCOFIELD DR
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48601-5260
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 SALZBURG RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-3466
Country	:	US
Telephone Number	:	719-820-8851
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ISIAHIA DAVIS
Credential	:
Telephone Number	:	719-820-8851

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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