A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Meals |
174200000X | |||
Mental Health |
101YM0800X | |||
Transportation Network Company |
342000000X |
| NPI # | 1033943949 |
| LBN Legal business name | ILLUM RESIDENTIAL CARE, INC. |
| Authorized official | RAVEN PITTMAN - (CHIEF FINANCIAL OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/02/2024 |
| Last updated | 09/02/2024 - More than a year ago |
| Identifiers | n/a |
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