Organization
LUMICARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHELLE DEAN (ADMINISTRATOR)
(626) 345-4626
Entity
Organization
Contact information
Practice address
4150 W PEORIA AVE STE 117, PHOENIX, AZ 85029-3950
(626) 345-4626
Mailing address
4150 W PEORIA AVE STE 117, PHOENIX, AZ 85029-3950
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us