MEDICARE: ILLUMINATING HOMECARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1730761198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ILLUMINATING HOMECARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2204 W VENANGO ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-3823
Country	:	US
Telephone Number	:	215-400-0720
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 W VENANGO ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-3823
Country	:	US
Telephone Number	:	215-400-0720
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MUNIYRA MUHAMMAD
Credential	:
Telephone Number	:	215-400-0720

Provider Enumeration Date	:	04/26/2021
Last Update Date	:	04/26/2021

Similar Medicare Providers

1710759634 — MUNIYRA MUHAMMAD NCC
Practice Location Address:

2204 W VENANGO ST
PHILADELPHIA, PA
19140-3823

Practice Phone: 215-400-0720
Practice Fax:

1659334985 — DVA HEALTHCARE OF PENNSYLVANIA LLC
Practice Location Address:

3823 MARKET ST
PHILADELPHIA, PA
19104-3145

Practice Phone: 215-222-0671
Practice Fax: 215-823-6949

1003866559 — DR. ELLEN L MITCHELL PHD
Practice Location Address:

5932 PULASKI AVE
PHILADELPHIA, PA
19144-3823

Practice Phone: 215-849-7945
Practice Fax: 215-849-5098

1568754018 — MITCHELL PSYCHOLOGICAL SERVICES INC
Practice Location Address:

5932 PULASKI AVE
PHILADELPHIA, PA
19144-3823

Practice Phone: 215-849-7945
Practice Fax:

1760727341 — WILLIAM PAUL WILKINSON III LMFT
Practice Location Address:

5914 PULASKI AVE
PHILADELPHIA, PA
19144-3823

Practice Phone: 215-833-4052
Practice Fax:

1942600333 — BLUEFORD CHARTER SCHOOL
Practice Location Address:

5720 MEDIA ST
PHILADELPHIA, PA
19131-3823

Practice Phone: 215-581-5502
Practice Fax: 215-581-5725

Directions to “ILLUMINATING HOMECARE SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.