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NPI Code Detail

MEDICARE: LUMINOUS EMBRACE HEALTH

MEDICARE: LUMINOUS EMBRACE HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency
2385H00000XRespite Care
3343900000XNon-emergency Medical Transport (VAN)
4251E00000XHome Health Agency

General Provider Information

NPI Number : 1215822812
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUMINOUS EMBRACE HEALTH
Provider Business Mailing Address
First Line : 3261 OLD WASHINGTON RD STE 2020
Second Line :
City : WALDORF
State : MD
Zip : 20602-3231
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3261 OLD WASHINGTON RD STE 2031
Second Line :
City : WALDORF
State : MD
Zip : 20602-3313
Country : US
Telephone Number : 917-849-9044
Fax Number :
Authorized Official
Title or Position : CEO
Name : CHEYLA MARTIN
Credential :
Telephone Number : 917-849-9044
Provider Enumeration Date : 06/12/2025
Last Update Date : 01/29/2026

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Directions to “LUMINOUS EMBRACE HEALTH ” Practice Location

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