Healthcare Provider Details

I. General information

NPI: 1871460162
Provider Name (Legal Business Name): RADIANT LIFE GROUP HOMES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2852 HICKORY CREEK DR
ORLANDO FL
32818-3066
US

IV. Provider business mailing address

2852 HICKORY CREEK DR
ORLANDO FL
32818-3066
US

V. Phone/Fax

Practice location:
  • Phone: 352-386-6482
  • Fax:
Mailing address:
  • Phone: 352-386-6482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. VALERIE BELVU
Title or Position: CO-OWNER ; ADMINISTRATOR
Credential: COO AND TEAM LEADER
Phone: 352-386-6482