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Contact Information

ILLUMINA LLC
4444 CORONA DR
STE 212
CORPUS CHRISTI, TX78411-4324
 Phone: 361-853-2000
 Fax: 361-853-2017
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
 

Nursing Care

251J00000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for ILLUMINA LLC

NPI # 1407136476
LBN Legal business name ILLUMINA LLC
Authorized official RODNEY MESQUIAS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2011
Last updated 10/27/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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