RADIANT PRIVATE CARE, LLC – NPI #1710467360
Clinic/Center

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

RADIANT PRIVATE CARE, LLC is an AHC clinic located in LAUDERHILL, FL. NPPES has assigned the NPI number 1710467360 to RADIANT PRIVATE CARE, LLC on August 14, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD1600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Developmental Disabilities

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RADIANT PRIVATE CARE, LLC below.

NPI Profile for
RADIANT PRIVATE CARE, LLC

NPI Number
1710467360
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RADIANT PRIVATE CARE, LLC
Primary location
1480 NW 52ND AVE
LAUDERHILL, FL 33313
Phone: (954) 907-8115 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROSE ALEXANDRE
PRESIDENT/CEO
Phone: (954) 907-8115
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD1600X
- Clinic/Center / Developmental Disabilities (Primary)
253Z00000X
- In Home Supportive Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.