Organization Active NPI

Our Radiance Inc.

  • Community Based Hospice Care Agency
  • Northridge, CA
National Provider Identifier
1710652979
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
OUR RADIANCE INC.
Practice address
8619 Reseda Blvd Ste 104
Northridge, CA 91324-4048
Phone
(818) 770-6900
NPI assigned
Aug 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Miss Jade Hanson
Title
Compliance Officer
Phone
(714) 770-0152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

8619 Reseda Blvd Ste 104
Northridge, CA 91324-4048

Mailing address

8619 Reseda Blvd Ste 104
Northridge, CA 91324-4048
Phone (818) 770-6900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1710652979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8619 RESEDA BLVD STE 104",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244048",
            "telephone_number": "818-770-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 RESEDA BLVD STE 104",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244048",
            "telephone_number": "818-770-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR RADIANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-770-0152",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.