RADIANT CARE HOME (NPI# 1174094338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174094338 |
| Entity Type | Organization |
| Organization Name | RADIANT CARE HOME |
| Practice Address |
15174 W Boca Raton Rd Surprise AZ 85379-8005 |
| Practice Telephone | 6235184534 |
| Practice Fax Number | 6235184534 |
| Mailing Telephone | 6235184534 |
| Mailing Fax Number | 6235184534 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-03-16 |
| Authorized Official Name | NICOLE SUPRIEN (MANAGER) |
| Authorized Official Telephone | 7022929169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 000000000000 | 05 | |
| N/A | 00000000000 | 01 |
| Street Address |
15174 W BOCA RATON RD |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85379-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818887 | Arizona Heartlands Home Care, LLC | Adult Companion | 14626 W. Wethersfield Rd, Surprise, AZ 85379 | 2020-07-07 |
| 1740832351 | Amanda Deangelis | Specialist/Technologist | 14064 W. Poinsettia Dr., Surprise, AZ 85379 | 2019-07-13 |
| 1720550767 | Anastasia Assisted Living Home LLC | Assisted Living Facility | 12805 N 145th Ave, Surprise, AZ 85379 | 2018-12-31 |
| 1306355821 | National Vision, Inc. | Technician/Technologist | Loop 303, Surprise, AZ 85379 | 2017-09-27 |
| 1306365770 | Christopher Albert Gard | Nurse Practitioner | 15643 W Cameron Dr, Surprise, AZ 85379 | 2017-09-16 |
| 1336667096 | Leon Quoc Lai | Pharmacist | 13723 Litchfield Rd, Surprise, AZ 85379 | 2017-09-01 |
| 1134664451 | Princess Valentin | Nurse Practitioner | 15400 W Waddell Road, Surprise, AZ 85379 | 2016-12-21 |
| 1871952408 | James Care Associates LLC | In Home Supportive Care | 12720 N. 149th Lane, Surprise, AZ 85379 | 2016-02-10 |
| 1669861688 | Todd Cleland | Physical Therapist | 15384 W. Dahlia Drive, Surprise, AZ 85379 | 2015-01-14 |
| 1326442187 | Sarpotdar Orthodontics, Pllc | Dentist | 13775 N. Litchfield Rd, Suite 108, Surprise, AZ 85379 | 2014-10-22 |
| Find all providers in zip 85379 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433844 | Angelic Care LLC | Assisted Living Facility | 15247 W Wethersfield Rd, Surprise, AZ 85379-9177 | 2020-10-07 |
| 1285241356 | Andicare LLC | Assisted Living Facility | 15358 W Post Cir, Surprise, AZ 85374-1422 | 2020-09-23 |
| 1699314138 | Crystal Rose | Assisted Living Facility | 13750 W Crocus Dr, Surprise, AZ 85379-8342 | 2020-01-01 |
| 1649826553 | K.s.i Group LLC | Assisted Living Facility | 15328 W Peak View Rd, Surprise, AZ 85387-6905 | 2019-08-15 |
| 1952962607 | Loving Heart | Assisted Living Facility | 11318 N 145th Ln, Surprise, AZ 85379-4353 | 2019-06-24 |
| 1720550767 | Anastasia Assisted Living Home LLC | Assisted Living Facility | 12805 N 145th Ave, Surprise, AZ 85379 | 2018-12-31 |
| 1811463508 | Dolce Vita Assisted Living | Assisted Living Facility | 15664 N 164th Ln, Surprise, AZ 85388-1117 | 2018-10-19 |
| 1275017998 | Paradise for Parents Quality Care,llc | Assisted Living Facility | 14210 N 138th Ct, Surprise, AZ 85379-8493 | 2018-09-19 |
| 1821572785 | Love and Care II Assisted Living, LLC | Assisted Living Facility | 16786 W Electra Ln, Surprise, AZ 85387-2027 | 2018-09-18 |
| 1376027094 | Elite Assisted Living Home LLC | Assisted Living Facility | 15755 W Shangri La Rd, Surprise, AZ 85379-4801 | 2018-09-18 |
| Find all providers in SURPRISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.