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General NPI Number Information
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NPI Number | 1326764861
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Entity Type | Organization
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Legal Business Name | LUMINARY HOSPICE OF INDIANA, LLC
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 11708 N. COLLEGE AVE. STE. 175
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City | CARMEL
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State | IN
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Zip | 46032
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Country | US
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Telephone | 317-814-6190
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Fax | 317-814-6191
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Provider Business Mailing Address
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Address Line | 11708 N. COLLEGE AVE. STE. 175
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City | CARMEL
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State | IN
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Zip | 46032
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Country | US
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Telephone | 317-814-6190
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Fax | 866-607-1841
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Authorized Official
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Title or Position | CEO
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Name | MR. 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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