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Contact Information

ILLIUMINATED HOME HEALTH CARE LLC.
175 CHARLES AVE
328
SAINT PAUL, MN55103-2054
 Phone: 952-261-9935
 Fax: 651-224-2857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for ILLIUMINATED HOME HEALTH CARE LLC.

NPI Number 1902953474
LBN Legal business name ILLIUMINATED HOME HEALTH CARE LLC.
Authorized official WILLIAM DAVIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2007
Last updated 06/24/2008 - About 18 years ago
Identifiers
MN License # 904066000
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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