NPIMap

Organization Active NPI

Radiant Home Care

Doing business as Radiant Home Health Care LLC

  • In Home Supportive Care Agency
  • Gallup, NM
National Provider Identifier
1558800490
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RADIANT HOME CARE
Doing business as
Radiant Home Health Care LLC
Practice address
101 S Clark St
Gallup, NM 87301-6678
Phone
(505) 722-9951
Fax
(505) 722-9952
NPI assigned
Feb 13, 2017
Last updated
Feb 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Mrs. Juliana Ofosua Bonney
Title
Agency Director
Phone
(505) 879-1587

Specialties & licenses 1

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

Addresses

Primary practice location

101 S Clark St
Gallup, NM 87301-6678

Mailing address

13236 W Annika Dr
Litchfield Park, AZ 85340-8363
Phone (505) 722-9951

Other names 1

  • RADIANT HOME HEALTH CARE LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Radiant Home Health Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1558800490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13236 W ANNIKA DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853408363",
            "telephone_number": "505-722-9951",
            "fax_number": "505-722-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S CLARK ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016678",
            "telephone_number": "505-722-9951",
            "fax_number": "505-722-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "BONNEY",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "OFOSUA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "505-879-1587",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RADIANT HOME HEALTH CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.