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Contact Information

RADIANT HOME HEALTH CARE LLC
1210 E HIGHWAY 66
GALLUP, NM87301-4993
 Phone: 505-722-9951
 Fax: 505-722-9952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

In Home Supportive Care

253Z00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for RADIANT HOME HEALTH CARE LLC

NPI # 1861891269
LBN Legal business name RADIANT HOME HEALTH CARE LLC
Authorized official DERRICK BONNEY - (CEO/AGENCY PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/21/2014
Last updated 01/30/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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