Radiant Hospice & Palliative Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

RADIANT HOSPICE & PALLIATIVE CARE LLC

Practice address

103 Jonesboro Rd Ste B2
McDonough, GA 30253-3169

Phone

(678) 729-8758

Fax

(678) 729-8772

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Isaiah Easton Jr.

Title

Owner

Phone

(678) 323-9334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Hospice certification: CCN 851571

Legal name

RADIANT HOSPICE & PALLIATIVE CARE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 24, 2023

Last certification

May 24, 2023

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Dec 3, 2020 in GA

Enrollment address

103 Jonesboro Rd
Ste B2
McDonough, GA 30253-3169

Listed as

Radiant Hospice & Palliative Care, LLCCCN 851571

Certified

May 24, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1649863846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 JONESBORO RD STE B2",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533169",
            "telephone_number": "678-729-8758",
            "fax_number": "678-729-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 JONESBORO RD STE B2",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533169",
            "telephone_number": "678-729-8758",
            "fax_number": "678-729-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HOSPICE & PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "EASTON",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-323-9334",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in McDonough, GA
• Providers in McDonough, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.