Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Illiuminated Home Health Care LLC

Organization Preferred Provider Organization · NPI 1902953474

Illiuminated Home Health Care LLC is a Preferred Provider Organization in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

175 Charles Ave 328
Saint Paul, MN 55103-2054
Phone: (952) 261-9935
Fax: (651) 224-2857
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 904066000 (MN)

Record details

NPI number1902953474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Davis — President · (952) 261-9935
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJune 24, 2008
Mailing address175 Charles Avenue, 328, St. Paul, MN 55103

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