NPIMap

Organization Active NPI

Radiant Home Health Care LLC

  • Home Health Agency
  • Gallup, NM
National Provider Identifier
1619632734
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RADIANT HOME HEALTH CARE LLC
Practice address
101 S Clark St
Gallup, NM 87301-6678
Phone
(505) 722-9951
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Derrick Bonney
Title
Director
Phone
(505) 722-9951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

101 S Clark St
Gallup, NM 87301-6678

Mailing address

101 S Clark St
Gallup, NM 87301-6678
Phone (505) 722-9951

National Provider Directory

National Provider Directory
Tax ID family
Radiant Home Care3 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.

Locations

101 S Clark St
Gallup, NM 87301
Phone (505) 722-9951

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1619632734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S CLARK ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016678",
            "telephone_number": "505-722-9951"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "BONNEY",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-722-9951"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 3, 2021; 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.