Radiant Retreat LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RADIANT RETREAT LLC

Practice address

7466 Boulaide St SW
Concord, NC 28025-6219

Phone

(704) 208-1887

NPI assigned

Feb 6, 2026

Last updated

Jun 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vivian Euladean ClarkNPI 1376401356

Title

Owner

Phone

(704) 208-1887

Specialties & licenses 1

Addresses

Tax ID family

Radiant Retreat LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Radiant Retreat LLC

  • Home Health Agency
  • Concord, NC
  • NPI 1285585182
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vivian Clark

  • Behavior Technician
  • Concord, NC
  • NPI 1376401356
  NPD Authorized official

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1558212464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7466 BOULAIDE ST SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280256219",
            "telephone_number": "704-208-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7466 BOULAIDE ST SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280256219",
            "telephone_number": "704-208-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT RETREAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "EULADEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-208-1887"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Rachmiel, DPT
• Brenda Rackoff
• Geoffrey David Rackoff, MD
• Austin Cole Radford, COTA/L
• Radiant Retreat LLC
• Gary T Raflo, M.D.
• Julie B Ragan, RPH
• Pamela Ragan, QP ITFS
• Rahab's Silver Linings & Consulting, LLC
• Brittney Annmarietta Rains, NP

• Community/Behavioral Health Agency in Concord, NC
• Providers in Concord, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.