MEDICARE: RADIANT'S REASON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251E00000X	Home Health Agency
3	251K00000X	Public Health or Welfare Agency
4	253Z00000X	In Home Supportive Care Agency
5	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
6	343900000X	Non-emergency Medical Transport (VAN)
7	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1417694431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIANT'S REASON

Provider Business Mailing Address
First Line	:	5801 RIVERDALE RD APT 48L
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-6878
Country	:	US
Telephone Number	:	678-973-5791
Fax Number	:

Provider Business Practice Location Address
First Line	:	5801 RIVERDALE RD APT 48L
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-6878
Country	:	US
Telephone Number	:	678-973-5791
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	RADIANT KHALIL MILLER
Credential	:	CPHT, PCA
Telephone Number	:	678-973-5791

Provider Enumeration Date	:	05/19/2022
Last Update Date	:	05/22/2022

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Directions to “RADIANT'S REASON ” Practice Location

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