Organization
LUMISCOPE HEALTH SERVICES
Active
Parent organization
HERO'S SHELTER INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERO'S SHELTER INC.
Authorized official
MS. OLUWAPELUMI OLUKOTUN BSN, MSHA, APRN, CCM (EXECUTIVE PROGRAM DIRECTOR)
(571) 400-8461
Entity
Organization
Contact information
Practice address
155 L ST NW, WASHINGTON, DC 20001-2521
(571) 400-8461
Mailing address
155 L ST NW, WASHINGTON, DC 20001-2521
(571) 400-8461
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999999999999
—
AK
05
—
999999999999
—
AL
05
—
999999999999
—
CA
05
—
999999999999
—
CO
05
—
999999999999
—
CT
05
—
999999999999
—
DC
05
—
999999999999
—
DE
05
—
999999999999
—
FL
05
—
999999999999
—
GA
05
—
999999999999
—
HI
05
—
999999999999
—
IA
05
—
999999999999
—
IL
05
—
999999999999
—
IN
05
—
999999999999
—
KY
05
—
999999999999
—
LA
05
—
999999999999
—
MA
05
—
999999999999
—
MD
05
—
999999999999
—
MO
05
—
999999999999
—
MS
05
—
999999999999
—
NC
05
—
999999999999
—
NE
05
—
999999999999
—
NJ
05
—
999999999999
—
NY
05
—
999999999999
—
OH
05
—
999999999999
—
TX
05
—
999999999999
—
UT
05
—
999999999999
—
VA
05
—
999999999999
—
VT
05
—
999999999999
—
WI
Enumeration date
08/12/2020
Last updated
08/13/2020
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