Radiance Home Health Care Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RADIANCE HOME HEALTH CARE AGENCY, INC.

Practice address

20832 Roscoe Blvd
Suite 213
Canoga Park, CA 91306-2057

Phone

(818) 678-9324

Fax

(818) 678-9528

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Leonilo S Sta. Maria III

Title

Owner/Ceo

Phone

(818) 861-5202

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1427585249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20832 ROSCOE BLVD",
            "address_2": "SUITE 213",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913062057",
            "telephone_number": "818-678-9324",
            "fax_number": "818-678-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20832 ROSCOE BLVD",
            "address_2": "SUITE 213",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913062057",
            "telephone_number": "818-678-9324",
            "fax_number": "818-678-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE HOME HEALTH CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "STA. MARIA",
        "authorized_official_first_name": "LEONILO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "818-861-5202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Canoga Park, CA
• Providers in Canoga Park, 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 May 11, 2017; 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.