Organization Active NPI

Radiant Faith Home Care

  • In Home Supportive Care Agency
  • Snellville, GA
National Provider Identifier
1407518228
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RADIANT FAITH HOME CARE
Practice address
3146 Overlook Ter
Snellville, GA 30078-3544
Phone
(404) 587-9226
NPI assigned
Oct 8, 2021
Last updated
Sep 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Cynthia Hicks
Title
Admin
Phone
(404) 596-9272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3146 Overlook Ter
Snellville, GA 30078-3544

Mailing address

174 Waterloch CT
Lawrenceville, GA 30043-4497
Phone (404) 596-9272

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1407518228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 WATERLOCH CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434497",
            "telephone_number": "404-596-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 OVERLOOK TER",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783544",
            "telephone_number": "404-587-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT FAITH HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "404-596-9272"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.