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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