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General NPI Number Information
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NPI Number | 1750511200
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Entity Type | Organization
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Legal Business Name | RADIANT HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 12/23/2010
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Provider Practice Location Address
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Address Line | 1670 PENNY LN
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City | BARTLETT
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State | IL
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Zip | 60103-7401
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Country | US
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Telephone | 708-590-6264
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Fax | 708-966-4287
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Provider Business Mailing Address
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Address Line | 15738 S BELL ROAD
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City | HOMER GLEN
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State | IL
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Zip | 60491
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Country | US
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Telephone | 708-590-6264
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Fax | 708-966-4287
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANCISCO D BERNARDO JR.
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Credential |
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Telephone | 708-590-6264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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