Organization Active NPI

Radiant Heart Home Care LLC

  • In Home Supportive Care Agency
  • Rockwall, TX
National Provider Identifier
1619598117
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RADIANT HEART HOME CARE LLC
Practice address
3115 Lakeside Dr
Rockwall, TX 75087-5320
Phone
(469) 500-5582
NPI assigned
May 6, 2020
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Genevieve Martin
Title
Administrator
Phone
(469) 500-5582

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3115 Lakeside Dr
Rockwall, TX 75087-5320

Mailing address

3115 Lakeside Dr
Rockwall, TX 75087-5320

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1619598117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 LAKESIDE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 LAKESIDE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875320",
            "telephone_number": "469-500-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HEART HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-500-5582"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.