Healthcare Provider Details

I. General information

NPI: 1508647215
Provider Name (Legal Business Name): RADIANT HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11011 RICHMOND AVE STE 175
HOUSTON TX
77042-6743
US

IV. Provider business mailing address

2064 MULE RIDGE DR
KATY TX
77493-3952
US

V. Phone/Fax

Practice location:
  • Phone: 832-596-3056
  • Fax: 832-743-0051
Mailing address:
  • Phone: 832-596-3056
  • Fax: 832-743-0051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRIA OFUANI
Title or Position: OWNER
Credential:
Phone: 832-596-3056