Radiant Healthcare Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RADIANT HEALTHCARE SERVICES LLC

Practice address

5100 Edina Industrial Blvd Ste 221
Edina, MN 55439-3005

Phone

(952) 855-3765

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Suheib Ali

Title

Owner

Phone

(952) 855-3765

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Nancy Gogolakis, MS, LPCC, NCC

  • Professional Counselor
  • Fargo, ND
  • NPI 1225781966

  MN

  Medicare reassignment NPD

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1295597391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 EDINA INDUSTRIAL BLVD STE 221",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393005",
            "telephone_number": "952-855-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 EDINA INDUSTRIAL BLVD STE 221",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393005",
            "telephone_number": "952-855-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SUHEIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-855-3765"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Rabenberg, ATC
• Noel A. Radcliffe, MD
• Wendy A Rader, P.T.
• Mark Raderstorf
• Radiance Spine Injury & Wellness Center
• Radiant Therapy Services LLC
• Fernando Cepollina Raduan, MD
• Deepak Rao Raghu, MD
• Donald F. Rahe, PH.D.
• A B M Masudur Rahman, MD

• Community/Behavioral Health Agency in Edina, MN
• Providers in Edina, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.