Healthcare Provider Details

I. General information

NPI: 1346178464
Provider Name (Legal Business Name): LUMINOUS TECH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 SALZBURG RD
BAY CITY MI
48706-3466
US

IV. Provider business mailing address

1133 SCOFIELD DR
SAGINAW MI
48601-5260
US

V. Phone/Fax

Practice location:
  • Phone: 719-820-8851
  • Fax:
Mailing address:
  • Phone:
  • 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: ISIAHIA DAVIS
Title or Position: OWNER
Credential:
Phone: 719-820-8851