Radiant Life Residential Care, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RADIANT LIFE RESIDENTIAL CARE, INC.

Practice address

1545 Shadow LN
Saint Charles, MO 63303-5023

Phone

(314) 697-2298

Fax

(314) 405-9394

NPI assigned

Sep 1, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Victoria Faulkner, DNP

Title

Agency Director

Phone

(314) 697-2298

Specialties & licenses 1

Addresses

Other names 1

• Radiant Life Community Living, Inc. Doing business as

Locations

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1407735699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 RUE ROYALE ST # 1147",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633018321",
            "telephone_number": "314-697-2298",
            "fax_number": "314-405-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 SHADOW LN",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035023",
            "telephone_number": "314-697-2298",
            "fax_number": "314-405-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT LIFE RESIDENTIAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-08-31",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "314-697-2298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Life Community Living, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.