| Luminox Healthcare Services Llc | |
|
4001 Pendennis Ct Upper Marlboro MD 20772-8304 | |
| (240) 553-7970 | |
| (347) 588-2943 |
| Full Name | Luminox Healthcare Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4001 Pendennis Ct, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Olayemi Adurota (PRESIDENT) |
| Authorized Official Contact | 2408259529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminox Healthcare Services Llc 4001 Pendennis Ct Upper Marlboro MD 20772-8304 Ph: (240) 553-7970 | Luminox Healthcare Services Llc 4001 Pendennis Ct Upper Marlboro MD 20772-8304 Ph: (240) 553-7970 |
| NPI Number | 1518669688 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Medicare PECOS PAC ID | 7315312394 |
|---|---|
| Medicare Enrollment ID | O20230404002505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518669688 | NPI | - | NPPES |
| Provider Name | Olayemi A Adurota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437524899 PECOS PAC ID: 3971801515 Enrollment ID: I20160414000378 |
Help Is Here Services Unlimited, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Mercantile Ln Ste 234, Upper Marlboro, MD 20774 Phone: 240-396-8086 | |
Stabilizing Behavior Consultations Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4741 Colonel Ashton Pl, Upper Marlboro, MD 20772 Phone: 301-379-9654 | |
Tic Toc Healthcare Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 17008 Usher Pl, Upper Marlboro, MD 20772 Phone: 240-552-2390 | |
N/a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14007 Buck Ct, Upper Marlboro, MD 20772 Phone: 301-922-1334 Fax: 301-627-7421 | |
Williams Restoration Of Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Mercantile Ln Ste 200, Upper Marlboro, MD 20774 Phone: 301-740-6034 Fax: 888-740-4113 | |
Masterpiece Behavioral Health Solution, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13332 Burleigh St, Upper Marlboro, MD 20774 Phone: 240-305-2144 | |
Innergy Renewal, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11317 Kettering Cir, Upper Marlboro, MD 20774 Phone: 301-364-8913 |