Illumination Foundation

LBN: Illumination Foundation
Illumination Foundation is an health care organization with primary practice located at 1091 N Batavia St , Orange CA 92867. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable, Agencies / Supports Brokerage, Respite Care Facility / Respite Care. Respite Care Facility / Respite Care is the primary health care specialty. Illumination Foundation can be contacted via phone (949) 273-0555, or through Simmons, John via phone (949) 273-0555.

Contact Information

Primary practice address
1091 N Batavia St Orange CA 92867
Phone: (949) 273-0555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simmons, John
Phone: (949) 273-0555

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Voluntary or Charitable 251V00000X
Agencies / Supports Brokerage 251X00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1073863056
LBN Legal business name Illumination Foundation
DBA Doing business as
Authorized official Simmons, John
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2012
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073863056 NPPES
California MEDICAID 10055

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