Healthcare Provider Details

I. General information

NPI: 1700770393
Provider Name (Legal Business Name): LUMINAR HEALTH NM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 OXFORD DR
LAS CRUCES NM
88005-1729
US

IV. Provider business mailing address

6082 VIA DE LOS ARBOLES
EL PASO TX
79932-1829
US

V. Phone/Fax

Practice location:
  • Phone: 575-270-4453
  • Fax:
Mailing address:
  • Phone: 575-270-4453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: BIANCA D BIANCA
Title or Position: FOUNDER
Credential:
Phone: 575-270-4453