Active NPI
Illumination Health and Home
- Respite Care
- Riverside, CA
National Provider Identifier
1013256213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- ILLUMINATION HEALTH AND HOME
- Practice address
- 2030 Iowa Ave Ste 101
Riverside, CA 92507-7416 - Phone
- (949) 273-0555
- NPI assigned
- Feb 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Pooja Bhalla, DNP
- Title
- Ceo
- Phone
- (949) 502-0339
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Supports Brokerage Agency | 251X00000X | |||
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
2030 Iowa Ave Ste 101
Riverside, CA 92507-7416
Mailing address
2871 Pullman St
Santa Ana, CA 92705-5713
Phone (949) 273-0555
Other practice location 1
111 W Redlands Blvd.
San Bernardino, CA 92408
Phone (949) 273-0555
Other practice location 2
3024 Franklin Ave
Riverside, CA 92507
Phone (949) 273-0555 ext. 420
Other names 1
- Illumination Foundation
National Provider Directory
National Provider Directory- Tax ID family
- Illumination Foundation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Respite Care
- Fullerton, CA
- NPI 1073863056
-
- Case Manager/Care Coordinator
- Anaheim, CA
- NPI 1285253286
Locations
1120 E Holt Blvd
Ontario, CA 91761
2030 Iowa Ave
Ste 101
Riverside, CA 92507
2871 Pullman St
Santa Ana, CA 92705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754524800000",
"number": "1013256213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2871 PULLMAN ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055713",
"telephone_number": "949-273-0555",
"fax_number": "888-517-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 IOWA AVE STE 101",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925077416",
"telephone_number": "949-273-0555"
}
],
"practiceLocations": [
{
"address_1": "111 W Redlands Blvd.",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "92408",
"country_code": "US",
"telephone_number": "949-273-0555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3024 FRANKLIN AVE",
"address_purpose": "LOCATION",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92507",
"country_code": "US",
"telephone_number": "949-273-0555 x420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ILLUMINATION HEALTH AND HOME",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-07",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A",
"authorized_official_last_name": "BHALLA",
"authorized_official_first_name": "POOJA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-502-0339",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Illumination Foundation",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.