NPIMap

Organization Active NPI

Illumia Health LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Akron, OH
National Provider Identifier
1740024397
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
ILLUMIA HEALTH LLC
Practice address
4040 Embassy Pkwy Ste 410
Akron, OH 44333-8326
Phone
(330) 576-5405
NPI assigned
Jun 19, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Janet Combs
Title
VP of Licensure
Phone
(704) 662-1761

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 50

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

View all 50

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20241223000539 OH Part B Supplier - Clinic/Group Practice 7810424306 Receives reassigned benefits from 44 practitioners
1 other NPI on this enrollment
Practice locations: Akron, OH; Dayton, OH; Maumee, OH

National Provider Directory

National Provider Directory
Tax ID family
Illumia Health LLC (6 organizations share this tax ID)

Locations

3700 Embassy Pkwy
Ste 130
Akron, OH 44333
Phone (330) 576-5405

4040 Embassy Pkwy
Ste 410
Akron, OH 44333
Phone (330) 576-5405

7887 Washington Village Dr
Ste 265
Dayton, OH 45459

1718 Indian Wood Cir
Ste A1
Maumee, OH 43537
Phone (419) 482-1050

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

NPPES NPI Registry

Primary practice location

4040 Embassy Pkwy Ste 410
Akron, OH 44333-8326

Mailing address

P.O. Box 4060
Attn: Regulatory
Mooresville, NC 28117-4060
Phone (704) 664-2876

Other practice location 1

7887 Washington Village Dr Ste 350A
Dayton, OH 45459-3900
Phone (937) 910-4004

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2025.

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1740024397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4060",
            "address_2": "ATTN: REGULATORY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174060",
            "telephone_number": "704-664-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 EMBASSY PKWY STE 410",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338326",
            "telephone_number": "330-576-5405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7887 Washington Village Dr Ste 350A",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454593900",
            "country_code": "US",
            "telephone_number": "937-910-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ILLUMIA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-662-1761"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.