NPI 1073863056

Illumination Health and Home

Organisation Respite Care Fullerton, CA

Practice location

Address: 3535 W Commonwealth Ave, Fullerton, CA 92833-2821
Phone: (949) 273-0555
Mailing address: 2871 Pullman St, Santa Ana, CA 92705-5713

Authorised official

Name: Pooja Bhalla
Title: Ceo
Phone: (949) 502-0339

Registered specialties (5)

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Voluntary or Charitable Agency

Agencies Taxonomy 251V00000X

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Supports Brokerage Agency

Agencies Taxonomy 251X00000X

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Registry record

NPI: 1073863056
Entity type: Organization
NPI issued: 17 Sep 2012
Record last updated: 7 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.