Radiant Roots Academy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RADIANT ROOTS ACADEMY LLC

Practice address

1568 W Sylvania Ave Unit 6445
Toledo, OH 43612-7505

Phone

(567) 317-1177

NPI assigned

Jul 28, 2026

Organization subpart

No

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

Authorized official

Name

Angela Nelson

Title

Founder & Executive Director

Phone

(567) 317-1177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1730001165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 W SYLVANIA AVE UNIT 6445",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436127505",
            "telephone_number": "567-317-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 W SYLVANIA AVE UNIT 6445",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436127505",
            "telephone_number": "567-317-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT ROOTS ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "FOUNDER & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "567-317-1177"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jelena Radan, PHARM.D.
• Anna Rader, PHARMD
• Ja'Nice Radford
• Renee Radford
• Radiant Life Health Care
• Michelle Duncan Radtkin, EX. DIRECTOR
• Kevin Raduege, MD
• Kristi Marie Radwan, CRNA
• Brooklynn Ann Rady, LSW
• Rae-Lyn Fobbs

• Community/Behavioral Health Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.