ILLIUMINATED HOME HEALTH CARE LLC. – Preferred Provider Organization, NPI 1902953474

ILLIUMINATED HOME HEALTH CARE LLC. is a healthcare provider. based in St. paul, Minnesota. specializing in Preferred Provider Organization. The organization holds a License No. 904066000 (MN). The NPI Number for ILLIUMINATED HOME HEALTH CARE LLC. is 1902953474

Main info

Organization
Name
ILLIUMINATED HOME HEALTH CARE LLC.
NPI
1902953474
Phone
(952) 261-9935
Address
175 CHARLES AVENUE
Authorized Official
MR. WILLIAM B. DAVIS PRESIDENT
Enumeration Date
5 January 2007
Last Update Date
24 June 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ILLIUMINATED HOME HEALTH CARE LLC.

  • 175, West Charles Avenue, Frogtown, Saint Paul, Ramsey County, Minnesota, 55103, United States

    328

    ST. PAUL, MN 55103

    Phone: (952) 261-9935

    Fax: (651) 224-2857

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55103)

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Reviews

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Frequently asked questions

Can I use this page to confirm ILLIUMINATED HOME HEALTH CARE LLC.'s NPI?
Yes. ILLIUMINATED HOME HEALTH CARE LLC. is listed with NPI 1902953474 in the public NPI dataset.
Can I rely on ILLIUMINATED HOME HEALTH CARE LLC. being an active provider?
As of the registry snapshot, ILLIUMINATED HOME HEALTH CARE LLC. is marked active.
What is ILLIUMINATED HOME HEALTH CARE LLC.'s specialty?
The listing groups ILLIUMINATED HOME HEALTH CARE LLC. with Preferred Provider Organization. Clinical services aligned with this taxonomy classification.
What address line appears for ILLIUMINATED HOME HEALTH CARE LLC.?
ILLIUMINATED HOME HEALTH CARE LLC.'s geographic hint is St. Paul, Minnesota in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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