Radiance Healthcare Group, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RADIANCE HEALTHCARE GROUP, LLC

Practice address

1914 J N Pease PL
Charlotte, NC 28262-4504

Phone

(980) 417-3212

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Wilson

Title

Director

Phone

(980) 417-3212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1982457685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 EXECUTIVE CENTER DR STE 228",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128821",
            "telephone_number": "980-417-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "980-417-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "980-417-3212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen June Radeker, FNP-BC
• Caroline Anne Rader
• Erica Rader, DMD
• Darryl E Radford Sr., REVEREND
• Bethany Leigh Radgowski, MSW, LCSW
• Jason Lee Radosevich, LCSW
• Rae's Playze Adult Day Center
• Rafael Rivera, Jr, DDS, PLLC (SmileStarters)
• Rafael Rivera, Jr., DDS, PLLC (SmileStarters)
• Maureen Rafferty, MD

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.