Healthcare Provider Details

I. General information

NPI: 1679405559
Provider Name (Legal Business Name): LUMA HEALTH AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1177 HYPOLUXO RD UNIT 101-4
LANTANA FL
33462-4244
US

IV. Provider business mailing address

1177 HYPOLUXO RD UNIT 101-4
LANTANA FL
33462-4244
US

V. Phone/Fax

Practice location:
  • Phone: 561-860-8501
  • Fax: 844-742-1130
Mailing address:
  • Phone: 561-860-8501
  • Fax: 844-742-1130

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: GREGORY PHILIPPE
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-542-5234