Organization Active NPI

Radiant Light Home Care LLP

  • Home Health Aide
  • Indianapolis, IN
National Provider Identifier
1073370953
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
RADIANT LIGHT HOME CARE LLP
Practice address
3184 Island Club CT Apt G
Indianapolis, IN 46214-6107
Phone
(260) 312-7251
NPI assigned
Mar 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Mr. Sylvester Williams Javon Williams
Title
Ceo, President
Phone
(260) 312-7251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

3184 Island Club CT Apt G
Indianapolis, IN 46214-6107

Mailing address

3229 Dania CT
Fort Wayne, IN 46806-2691
Phone (260) 312-7251

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1073370953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 DANIA CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468062691",
            "telephone_number": "260-312-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 ISLAND CLUB CT APT G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462146107",
            "telephone_number": "260-312-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT LIGHT HOME CARE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SYLVESTER WILLIAMS",
        "authorized_official_middle_name": "JAVON",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "260-312-7251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.