ILLUMINATION FOUNDATION NPI 1073863056

NPI Information

NPI: 1073863056
Provider Name: ILLUMINATION FOUNDATION
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
1091 N BATAVIA ST
ORANGE, CA
ZIP 92867
Phone: (949) 273-0555
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ILLUMINATION FOUNDATION is a respite care in Orange, CA. The provider is definition to come. ILLUMINATION FOUNDATION NPI is 1073863056. The provider is registered as an organization entity type.

The provider's business location address is:

1091 N BATAVIA ST
ORANGE, CA
ZIP 92867
Phone: (949) 273-0555

The provider's authorized official is John Simmons .
The authorized official title is Director Of Recuperative Care and has the following contact phone number (949) 273-0555.

The enumeration date for this NPI number is 9/17/2012 and was last updated on 2/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	251B00000X	Case Management	No
2	251S00000X	Community/Behavioral Health	No
3	251V00000X	Voluntary or Charitable	No
4	251X00000X	Supports Brokerage	No
5	385H00000X	Respite Care	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10055	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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