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General NPI Number Information
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NPI Number | 1053204677
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Entity Type | Organization
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Legal Business Name | LUMINARY HOSPICE OF SOUTH BEND, LLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 7321 HERITAGE SQUARE DR STE 2120
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City | GRANGER
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State | IN
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Zip | 46530-5660
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Country | US
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Telephone | 574-367-5905
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Fax |
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Provider Business Mailing Address
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Address Line | 7321 HERITAGE SQUARE DR STE 2120
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City | GRANGER
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State | IN
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Zip | 46530-5660
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Country | US
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Telephone | 574-367-5905
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SETH RAINFORD
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Credential |
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Telephone | 630-864-8820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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