LUMINOX HEALTHCARE SERVICES LLC
NPI 1518669688
Clinic/Center - Mental Health (Including Community Mental Health Center) in Upper Marlboro, MD

Active since March 21, 2023
4001 PENDENNIS CT, UPPER MARLBORO, MD 20772(240) 553-7970(347) 588-2943 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Luminox Healthcare Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUMINOX HEALTHCARE SERVICES LLC (NPI 1518669688) is a healthcare organization registered as a mental health (including community mental health center) in Upper Marlboro, Maryland and active in the NPI registry since March 2023. The organization lists Olayemi Adurota, President, as its authorized official.

NPPES Registry Identity

NPI1518669688
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLUMINOX HEALTHCARE SERVICES LLC
Location Address4001 PENDENNIS CTUpper Marlboro, MD 20772-8304
Mailing Address4001 Pendennis CtUpper Marlboro, MD 20772-8304 · (240) 553-7970 · Fax (347) 588-2943
Fax(347) 588-2943
Organization SubpartNo
Authorized OfficialOlayemi AdurotaPresident · (240) 825-9529
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1518669688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4001 PENDENNIS CT, Upper Marlboro, MD 20772

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luminox Healthcare Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Luminox Healthcare Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1437524899
13400 EDGEMEADE RD
Upper Marlboro, MD 20772
(240) 825-9529
✔ PECOS8.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luminox Healthcare Services LLC's NPI number?

The NPI number for Luminox Healthcare Services LLC is 1518669688. It was assigned to this organization in the NPPES registry on March 21, 2023.

Where is Luminox Healthcare Services LLC located?

Luminox Healthcare Services LLC is located at 4001 Pendennis Ct, Upper Marlboro, MD 20772. The listed phone number is (240) 553-7970.

What is Luminox Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Luminox Healthcare Services LLC enrolled in Medicare?

Yes. Luminox Healthcare Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Luminox Healthcare Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Luminox Healthcare Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Luminox Healthcare Services LLC was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.