Organization Active NPI

Radiant Care, LLC

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1639797475
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RADIANT CARE, LLC
Practice address
2380 Wycliff St Ste 200
Saint Paul, MN 55114-1257
Phone
(952) 247-7010
Fax
(952) 241-1693
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Dama Sahid
Title
Director
Phone
(952) 247-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2380 Wycliff St Ste 200
Saint Paul, MN 55114-1257

Mailing address

2380 Wycliff St Ste 200
Saint Paul, MN 55114-1257
Phone (952) 247-7010

National Provider Directory

National Provider Directory

Locations

5100 Edina Industrial Blvd
Ste 236
Minneapolis, MN 55439
Phone (612) 402-0852

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1639797475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 WYCLIFF ST STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141257",
            "telephone_number": "952-247-7010",
            "fax_number": "952-241-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 WYCLIFF ST STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141257",
            "telephone_number": "952-247-7010",
            "fax_number": "952-241-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "SAHID",
        "authorized_official_first_name": "DAMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-247-7010"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.