Healthcare Provider Details

I. General information

NPI: 1053292243
Provider Name (Legal Business Name): LUMIRA HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 BRANDON RD
UPPER ARLINGTON OH
43221-3338
US

IV. Provider business mailing address

2915 BRANDON RD
UPPER ARLINGTON OH
43221-3338
US

V. Phone/Fax

Practice location:
  • Phone: 614-695-1993
  • Fax: 614-695-1993
Mailing address:
  • Phone: 614-695-1993
  • Fax: 614-695-1993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. MASCELLINE ALEMASONG FONJOCK
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 614-695-1993