RADIANT HEALTH CARE, INC (NPI# 1366508368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366508368 |
| Entity Type | Organization |
| Organization Name | RADIANT HEALTH CARE, INC |
| Other Organization Name | K.A.S.T. HOME CARE |
| Practice Address |
4609 Smarty Jones Drive Knightdale NC 27545 |
| Practice Telephone | 9197909826 |
| Practice Fax Number | 2403597102 |
| Mailing Telephone | 9197909826 |
| Mailing Fax Number | 2403597102 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SOPHIA L. MBACKE (AGENCY ADMINISTRATOR) |
| Authorized Official Telephone | 9192642916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 372600000X | Adult Companion | HC3598 | NC | Nursing Service Related Providers |
| X | 3747P1801X |
Technician Specialization: Personal Care Attendant |
HC3598 | NC | Nursing Service Related Providers |
| X | 372500000X | Chore Provider | HC3598 | NC | Nursing Service Related Providers |
| X | 376K00000X | Nurse's Aide | HC3598 | NC | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NCDFS-LICENSE # | HC3598 | 01 |
| Other Name | Type Code |
|---|---|
| K.A.S.T. Home Care | Doing Business As Name - Organization |
| Street Address |
4609 SMARTY JONES DRIVE |
| City | KNIGHTDALE |
| State | NC |
| Zip Code | 27545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688526 | Galberth Health | Physical Therapist | 8002 Peachtree Town Ln, Knightdale, NC 27545 | 2017-09-24 |
| 1790215390 | Edward Hoggard Jr. | Counselor | 2013 Ballston Place, Knightdale, NC 27545 | 2017-06-15 |
| 1730635970 | Tara Forsythe | Social Worker | 4006 Peachtree Town Lane, Knightdale, NC 27545 | 2016-08-28 |
| 1134504962 | Maybell Grino | Pharmacist | 7201 Us Highway 64, Knightdale, NC 27545 | 2015-07-22 |
| 1477948735 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 1408 Silver Valley Dr, Knightdale, NC 27545 | 2015-04-03 |
| 1235560772 | Shameka Latoya Davis | Counselor | 7417 Knightdale Blvd Unit 101, Knightdale, NC 27545 | 2013-12-10 |
| 1992135107 | Daniel Ross Conti | Dentist | 1001 Widewaters Parkway, Knightdale, NC 27545 | 2013-11-25 |
| 1255773644 | David D Sanjurjo | Nurse Practitioner | 7201 Us Hwy 64, Knightdale, NC 27545 | 2013-07-25 |
| 1790037133 | Dona D Mayo | Counselor | 502 Mcknight Drive, Better Communities, Knightdale, NC 27545 | 2012-10-09 |
| 1699972257 | Lindsay Horwat | Occupational Therapist | 1010 Emerald Common Drive, Apartment 205, Knightdale, NC 27545 | 2007-06-28 |
| Find all providers in zip 27545 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634399 | Amber House Staffing, LLC | Adult Companion | 611 Summit Ave Ste 4, Greensboro, NC 27405-7746 | 2020-09-22 |
| 1528671997 | Antoinette L Williams | Adult Companion | 1727 Pepperwood Way, Leland, NC 28451-9393 | 2020-08-26 |
| 1851937148 | Stevens House of Hope, Inc | Adult Companion | 1002 W Waddell St, Selma, NC 27576-2028 | 2019-11-21 |
| 1831731488 | Emma Rose Van Gilder | Adult Companion | 223 Payne Branch Rd, Blowing Rock, NC 28605-9021 | 2019-10-15 |
| 1902363286 | Tbh Home Healthcare | Adult Companion | 4 Briar Cir Apt D, Fayetteville, NC 28306-4940 | 2019-02-22 |
| 1407326010 | Home Rule LLC | Adult Companion | 25 1st Ave Ne Ste 103, Hickory, NC 28601-6220 | 2018-11-27 |
| 1811464522 | Larry Moore | Adult Companion | 620 N Church St Apt 1603, Charlotte, NC 28202-3299 | 2018-10-31 |
| 1013490382 | Brianna Terial Amaechi | Adult Companion | 5301 Jade Forest Trl, Raleigh, NC 27616-5148 | 2018-09-12 |
| 1578052098 | Felicia Lavern Gore | Adult Companion | 330 Treeacres Circle Nw, Calabash, NC 28467 | 2018-05-10 |
| 1326550377 | Darlene Denise Seabrooks | Adult Companion | 3807 Woodbriar Trl, Charlotte, NC 28205-4967 | 2017-10-31 |
| Find all providers with the same taxonomy | ||||
| City | KNIGHTDALE |
| Zip Code | 27545 |
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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.