Radiant Light Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RADIANT LIGHT HOME HEALTH, INC.

Practice address

2600 Foothill Blvd Ste 305
La Crescenta, CA 91214-4579

Phone

(818) 602-0350

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

David Engibarian

Title

Ceo

Phone

(818) 602-0350

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757112

Legal name

RADIANT LIGHT HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 3, 2023

Last certification

Dec 22, 2022

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 31, 2021 in CA

Enrollment address

2600 Foothill Blvd
Ste 305
La Crescenta, CA 91214-4579

Listed as

Radiant Light Home Health, Inc.CCN 757112

Ownership

Proprietary

Certified

Jan 3, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1295305498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FOOTHILL BLVD STE 305",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 FOOTHILL BLVD STE 305",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144579",
            "telephone_number": "818-602-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT LIGHT HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "ENGIBARIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-602-0350"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Health Medical Clinic
• Destanee U Prior
• Pristine Angels Hospice, Inc.
• Professional Balance and Dizziness Centers,LLC
• Quantum Healthcare Consulting LLC
• Nancy Rafaelian, AMFT
• Purvisa Randeria
• Aida Karoun Rechdouni, M.D.
• Jamelet Rendo, RN
• Restart Home Health Care Inc

• Home Health Agency in La Crescenta, CA
• Providers in La Crescenta, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.