Healthcare Provider Details

I. General information

NPI: 1003740762
Provider Name (Legal Business Name): LUMINATE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9229 W SUNSET BLVD STE 826
LOS ANGELES CA
90069-3402
US

IV. Provider business mailing address

9229 W SUNSET BLVD STE 826
LOS ANGELES CA
90069-3402
US

V. Phone/Fax

Practice location:
  • Phone: 310-740-6162
  • Fax:
Mailing address:
  • Phone: 310-740-6162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YVETTE NOWRY
Title or Position: DON/CEO
Credential: RN,BSN
Phone: 818-437-4168