MEDICARE: LUMINOUS HOME HEALTH

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	:	1881559318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMINOUS HOME HEALTH

Provider Business Mailing Address
First Line	:	5658 SEPULVEDA BLVD STE 210
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2951
Country	:	US
Telephone Number	:	747-877-4888
Fax Number	:	747-877-4880

Provider Business Practice Location Address
First Line	:	5658 SEPULVEDA BLVD STE 210
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2951
Country	:	US
Telephone Number	:	747-877-4888
Fax Number	:	747-877-4880

Authorized Official
Title or Position	:	CEO
Name	:	GRIGOR DISCIGRIKYAN
Credential	:
Telephone Number	:	747-877-4888

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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Directions to “LUMINOUS HOME HEALTH ” Practice Location

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