Radiant Recovery Residences LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RADIANT RECOVERY RESIDENCES LLC

Practice address

1955 University Ave W Ste 205
Saint Paul, MN 55104-3592

Phone

(612) 232-9089

NPI assigned

Feb 16, 2024

Organization subpart

No

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

Authorized official

Name

Mohamed A Ali

Title

Ceo

Phone

(612) 232-9089

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708128000000",
    "number": "1942065123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 UNIVERSITY AVE W STE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 UNIVERSITY AVE W STE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043592",
            "telephone_number": "612-232-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT RECOVERY RESIDENCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-232-9089"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Rachac, RD
• Nicole Racine, LSW
• Susanne Marie Rademacher, NP
• Radial Results LLC
• Radiant Care, LLC
• Radias Health-HSS/HNP
• Radius Living RX, LP
• Alan Quenton Radke, M.D.
• Tiffany J Radke, APN
• Katherine Mary Radmer

• Home Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Agency in Minnesota

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