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Organization
ILLUMINATION HEALTH AND HOME
Active
Organization
ILLUMINATION HEALTH AND HOME
Active
Other names
Illumination Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
MISS POOJA BHALLA DNP (CEO)
(949) 502-0339
Entity
Organization
Contact information
Practice address
2030 IOWA AVE STE 101, RIVERSIDE, CA 92507-7416
(949) 273-0555
Mailing address
2871 PULLMAN ST, SANTA ANA, CA 92705-5713
(949) 273-0555
(888) 517-7123
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251X00000X
Supports Brokerage Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
02/07/2013
Last updated
08/07/2025
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