LUMINOUS ENTERPRISES, L.L.C. (NPI# 1942219118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942219118 |
| Entity Type | Organization |
| Organization Name | LUMINOUS ENTERPRISES, L.L.C. |
| Practice Address |
20 Jervey Rd Suite 102 Tryon NC 28782-0017 |
| Practice Telephone | 8288592780 |
| Practice Fax Number | 8288593057 |
| Mailing Telephone | 8288592780 |
| Mailing Fax Number | 8288593057 |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL E. WOFFORD (OWNER) |
| Authorized Official Telephone | 8288592780 |
| Authorized Official Credential | D. MIN. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409386 | 05 |
| Street Address |
20 JERVEY RD SUITE 102 |
| City | TRYON |
| State | NC |
| Zip Code | 28782-0017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508015769 | Synergy In Action | Day Training, Developmentally Disabled Services | 20 Jervey Rd, Suite 102, Tryon, NC 28782-0017 | 2008-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750550562 | Sarah Kathleen Baxley | Physical Therapist | 69 Tate Lane, Tryon, NC 28782 | 2008-02-26 |
| 1932242369 | J. W. Hooker, Dds, Pa | Dentist | 60 Pacolet Street, Tryon, NC 28782 | 2007-02-15 |
| 1972608545 | John Malloy | Occupational Therapist | 185 Woody Circle, Tryon, NC 28782 | 2006-09-14 |
| 1184671125 | B & B Pharmacy | Pharmacist | 38 N Trade St, Tryon, NC 28782 | 2006-05-27 |
| 1083887079 | Dr James C Bond | Optometrist | 486 S Trade St, Tryon, NC 28782 | 2008-04-10 |
| 1760418925 | Mary Amelia Stringer | Counselor | 330 Carolina Dr, Tryon, NC 28782-0015 | 2006-06-22 |
| 1649408402 | Family Preservation Services of Nc, Inc. | Psychiatry & Neurology | 330 Carolina Dr, Tryon, NC 28782-0015 | 2009-06-30 |
| 1750516175 | Family Preservation Services of North Carolina, Inc. | Community/Behavioral Health | 330 Carolina Dr, Tryon, NC 28782-0015 | 2009-05-29 |
| 1952566366 | Robert Bolin | Counselor | 330 Carolina Dr, Tryon, NC 28782-0015 | 2008-07-24 |
| 1750544375 | William B. Caldwell | Marriage & Family Therapist | 330 Carolina Dr, Tryon, NC 28782-0015 | 2008-07-03 |
| Find all providers in zip 28782 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013392679 | Lighthouse Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Mimosa Inn Ln, Suite 102, Tryon, NC 28782-8685 | 2015-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
| 1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.