MEDICARE: LUMINARY CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	261Q00000X	Clinic/Center
3	261QI0500X	Infusion Therapy Clinic/Center
4	333600000X	Pharmacy
5	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1891593653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMINARY CARE LLC

Provider Business Mailing Address
First Line	:	347 BRADFORD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-4206
Country	:	US
Telephone Number	:	347-837-2088
Fax Number	:

Provider Business Practice Location Address
First Line	:	4212 28TH ST APT 42C
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-6253
Country	:	US
Telephone Number	:	347-837-2088
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	SHAIFUL CHOWDHURY
Credential	:	BUSINESS OWNER
Telephone Number	:	347-837-2088

Provider Enumeration Date	:	03/06/2025
Last Update Date	:	04/18/2025

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Directions to “LUMINARY CARE LLC ” Practice Location

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