# ILLUMINATION HEALTH AND HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Illumination Foundation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073863056
- **Authorized official:** DR. POOJA BHALLA DNP, RN (CEO)
- **Authorized official phone:** (949) 502-0339

## Contact information

- **Practice address:** 3535 W COMMONWEALTH AVE, FULLERTON, CA 92833-2821
- **Practice address phone:** (949) 273-0555
- **Mailing address:** 2871 PULLMAN ST, SANTA ANA, CA 92705-5713
- **Mailing address phone:** (949) 273-0555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 08/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10055 | — | CA |
