NPI Code Details Logo

NPI 1255285839

NPI 1255285839 : RADIANT LIFE COMMUNITY LIVING INC : TOPEKA, KS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1255285839
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RADIANT LIFE COMMUNITY LIVING INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/23/2026
-----------------------------------------------------
    Last Update Date     |    02/23/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    501 SE JEFFERSON ST 
-----------------------------------------------------
    City                 |    TOPEKA
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    66607-1172
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    314-697-2298
-----------------------------------------------------
    Fax                  |    314-405-9394
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 3083 
-----------------------------------------------------
    City                 |    JUNCTION CITY
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    66441-6083
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    314-697-2298
-----------------------------------------------------
    Fax                  |    314-405-9394
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    DR. VICTORIA  FAULKNER 
-----------------------------------------------------
    Credential           |    DNP
-----------------------------------------------------
    Telephone            |    314-697-2298
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    253J00000X
-----------------------------------------------------
    Taxonomy Name        |    Foster Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.