Healthcare Provider Details

I. General information

NPI: 1255267142
Provider Name (Legal Business Name): LUMINATE VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18320 FERN LN
WALTON HILLS OH
44146-5229
US

IV. Provider business mailing address

18320 FERN LN
WALTON HILLS OH
44146-5229
US

V. Phone/Fax

Practice location:
  • Phone: 216-502-9798
  • Fax: 216-372-3343
Mailing address:
  • Phone: 216-502-9798
  • Fax: 216-372-3343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARINYIMA A GIMAH
Title or Position: MANAGING DIRECTOR
Credential: MD
Phone: 216-502-9798