RADIANT HOSPICE & PALLIATIVE CARE LLC NPI 1649863846

NPI Information

NPI: 1649863846
Provider Name: RADIANT HOSPICE & PALLIATIVE CARE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 11D2259289

Address:
103 JONESBORO RD STE B2
MCDONOUGH, GA
ZIP 30253
Phone: (678) 729-8758
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RADIANT HOSPICE & PALLIATIVE CARE LLC is a hospice care community based in Mcdonough, GA. RADIANT HOSPICE & PALLIATIVE CARE LLC NPI is 1649863846. The provider is registered as an organization entity type.

The provider's business location address is:

103 JONESBORO RD STE B2
MCDONOUGH, GA
ZIP 30253-169
Phone: (678) 729-8758
Fax: (678) 729-8772

The provider's authorized official is Isaiah Easton .
The authorized official title is Owner and has the following contact phone number (678) 323-9334.

The CLIA number assigned to this NPI record is 11D2259289 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2021 and was last updated on 12/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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