# LUMORA CARE GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790211290
- **Authorized official:** HEGEL BOSS (COO)
- **Authorized official phone:** (813) 540-8632

## Contact information

- **Practice address:** 8431 RADIO LN, TAMPA, FL 33619-1319
- **Practice address phone:** (813) 475-2596
- **Mailing address:** 8431 RADIO LN, TAMPA, FL 33619-1319
- **Mailing address phone:** (813) 540-8632
- **Mailing address fax:** (813) 381-7719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 05/04/2017
- **Last updated:** 07/19/2026
