Radiant Community Connections LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

RADIANT COMMUNITY CONNECTIONS LLC

Practice address

288 Sand Hill Rd
Peterborough, NH 03458-1613

Phone

(407) 687-7375

NPI assigned

Feb 26, 2024

Last updated

Feb 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vikrant Shivdasani

Title

MBR

Phone

(407) 687-7375

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1912763178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 SAND HILL RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581613",
            "telephone_number": "407-687-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 SAND HILL RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581613",
            "telephone_number": "407-687-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT COMMUNITY CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "SHIVDASANI",
        "authorized_official_first_name": "VIKRANT",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "407-687-7375"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Elizabeth Potvin
• Melissa Ann Pouliot, PTA
• Vincent Procita, D.C.
• Mary E Proulx
• Paul E Quinney, OT
• Elvin R Ramey, MD
• Raynor Dental Peterborough, PLLC
• Leah Reed, LIC. ACUPUNCTURIST
• Kristen Reilly, MA
• Theodore Renna

• Developmentally Disabled Services Day Training Agency in Peterborough, NH
• Providers in Peterborough, NH by specialty
• Developmentally Disabled Services Day Training Agency in New Hampshire

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