Healthcare Provider Details

I. General information

NPI: 1881559318
Provider Name (Legal Business Name): LUMINOUS HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5658 SEPULVEDA BLVD STE 210
VAN NUYS CA
91411-2951
US

IV. Provider business mailing address

5658 SEPULVEDA BLVD STE 210
VAN NUYS CA
91411-2951
US

V. Phone/Fax

Practice location:
  • Phone: 747-877-4888
  • Fax: 747-877-4880
Mailing address:
  • Phone: 747-877-4888
  • Fax: 747-877-4880

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: GRIGOR DISCIGRIKYAN
Title or Position: CEO
Credential:
Phone: 747-877-4888