MEDICARE: LUMINOUS HOME CARE LLC

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1255287934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMINOUS HOME CARE LLC

Provider Business Mailing Address
First Line	:	2450 W SILVER SPRING DR
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-4258
Country	:	US
Telephone Number	:	414-350-2963
Fax Number	:	414-236-7221

Provider Business Practice Location Address
First Line	:	2450 W SILVER SPRING DR
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-4258
Country	:	US
Telephone Number	:	414-350-2963
Fax Number	:	414-236-7221

Authorized Official
Title or Position	:	OWNER
Name	:	BRANDIE LOWE
Credential	:
Telephone Number	:	414-350-2963

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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