Organization Active NPI

Radiance Health Services, LLC

  • Case Management Agency
  • Grand Prairie, TX
National Provider Identifier
1902762073
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RADIANCE HEALTH SERVICES, LLC
Practice address
1106 N State Highway 360
Grand Prairie, TX 75050-2559
Phone
(469) 332-4906
NPI assigned
Jan 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Mr. Donnell L Ezell
Title
Administrator
Phone
(936) 207-8870

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1106 N State Highway 360
Grand Prairie, TX 75050-2559

Mailing address

1106 N State Highway 360
Grand Prairie, TX 75050-2559

National Provider Directory

National Provider Directory

Locations

1106 N State Highway 360
Grand Prairie, TX 75050
Phone (469) 332-4906

NPI Registry JSON

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

{
    "created_epoch": "1767225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1902762073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N STATE HIGHWAY 360",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N STATE HIGHWAY 360",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502559",
            "telephone_number": "469-332-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-01",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "EZELL",
        "authorized_official_first_name": "DONNELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "936-207-8870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.