Organization Active NPI

Illuminating Homecare Services LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1730761198
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ILLUMINATING HOMECARE SERVICES LLC
Practice address
2204 W Venango St
Philadelphia, PA 19140-3823
Phone
(215) 400-0720
NPI assigned
Apr 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Muniyra MuhammadNPI 1710759634
Title
President
Phone
(215) 400-0720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2204 W Venango St
Philadelphia, PA 19140-3823

Mailing address

2204 W Venango St
Philadelphia, PA 19140-3823
Phone (215) 400-0720

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1730761198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 W VENANGO ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191403823",
            "telephone_number": "215-400-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 W VENANGO ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191403823",
            "telephone_number": "215-400-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATING HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "MUNIYRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-400-0720"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.