Radiant Health & Medical Supplies LLC

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

Legal business name

RADIANT HEALTH & MEDICAL SUPPLIES LLC

Practice address

1710 Douglas Dr N
Suite 204
Golden Valley, MN 55422-4327

Phone

(763) 515-3089

NPI assigned

May 17, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Earl Abdul Follah

Title

Manager/Owner

Phone

(763) 515-3089

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1922444801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 KALI AVE NE",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553014332",
            "telephone_number": "763-515-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N",
            "address_2": "SUITE 204",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224327",
            "telephone_number": "763-515-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HEALTH & MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "FOLLAH",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "ABDUL",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "763-515-3089",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sara B Ranssi, LICSW
• Clemencia Rasquinha, M.D

• Nursing Facility Supplies (DME) in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Nursing Facility Supplies (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.