Illuminate Holdings Llc

LBN: Illuminate Holdings Llc
Illuminate Holdings Llc is an health care organization with primary practice located at 14884 S Heritagecrest Way Ste D , Bluffdale UT 84065-4840. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Illuminate Holdings Llc can be contacted via phone (801) 793-0620, or through Mangum, Shelley via phone (801) 793-0620.

Contact Information

Primary practice address
14884 S Heritagecrest Way Ste D Bluffdale UT 84065-4840
Phone: (801) 793-0620
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mangum, Shelley CMHC
Phone: (801) 793-0620

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1285315176
LBN Legal business name Illuminate Holdings Llc
DBA Doing business as
Authorized official Mangum, Shelley CMHC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2023
Last updated Jul 25th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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