LUMINOUS CARE, LLC
NPI 1467066639
Clinic/Center - Health Service in Atlanta, GA

Active since September 03, 2020
285 BOULEVARD NE STE 145, ATLANTA, GA 30312(844) 884-9691(404) 907-4052 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2020, Sep 3, 2020 (2 updates tracked since 2020).

  • Organization
  • Clinic/Center
  • Health Service

About LUMINOUS CARE, LLC

This page provides the complete NPI Profile along with additional information for Luminous Care, Llc, a provider established in Atlanta, Georgia operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1467066639 assigned on September 2020. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Andrea Jefferson-saboor (Fnp)

NPI
1467066639 Verify this NPI
Provider Name
LUMINOUS CARE, LLC
Entity Type
Organization
Location Address
285 BOULEVARD NE STE 145 ATLANTA, GA 30312
Location Phone
(844) 884-9691
Location Fax
(404) 907-4052
Mailing Address
1132 LIBERTY PKWY NW ATLANTA, GA 30318
Mailing Phone
(404) 354-6988
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-03-2020
Last Update Date
09-11-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ANDREA JEFFERSON-SABOOR

Authorized Official Title
FNP
Authorized Official Phone
(404) 354-6988

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000899643MEDICAID (05)GA 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Primary Care)
285 BOULEVARD NE STE 145
ATLANTA, GA 30312

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467066639, enumerated as an "organization" on September 03, 2020.

The provider is located at 285 BOULEVARD NE STE 145 ATLANTA, GA 30312 and the phone number is (844) 884-9691.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.