Healthcare Provider Details

I. General information

NPI: 1760220750
Provider Name (Legal Business Name): RADIANT HORIZON FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29300 EUCLID AVE STE 211
WICKLIFFE OH
44092-1957
US

IV. Provider business mailing address

29300 EUCLID AVE STE 211
WICKLIFFE OH
44092-1957
US

V. Phone/Fax

Practice location:
  • Phone: 440-278-4185
  • Fax:
Mailing address:
  • Phone: 440-278-4185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. PARIS KEYON JOHNS
Title or Position: OWNER
Credential:
Phone: 216-314-2280