Healthcare Provider Details

I. General information

NPI: 1255287934
Provider Name (Legal Business Name): LUMINOUS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 W SILVER SPRING DR
GLENDALE WI
53209-4258
US

IV. Provider business mailing address

2450 W SILVER SPRING DR
GLENDALE WI
53209-4258
US

V. Phone/Fax

Practice location:
  • Phone: 414-350-2963
  • Fax: 414-236-7221
Mailing address:
  • Phone: 414-350-2963
  • Fax: 414-236-7221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRANDIE LOWE
Title or Position: OWNER
Credential:
Phone: 414-350-2963