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RADIANCE ENTERPRISE NPI 1922755800


NPI Information

NPI: 1922755800
Provider Name: RADIANCE ENTERPRISE

Doing Business As: RADIANCE HEALTH SERVICES

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1629 K ST NW STE 300
WASHINGTON, DC
ZIP 20006
Phone: (240) 481-5212
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RADIANCE ENTERPRISE is a developmental disabilities clinic center in Washington, DC. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). RADIANCE ENTERPRISE NPI is 1922755800. The provider is registered as an organization entity type.
The provider Is Doing Business As Radiance Health Services.

The provider's business location address is:

1629 K ST NW STE 300
WASHINGTON, DC
ZIP 20006-631
Phone: (240) 481-5212

The provider's authorized official is Valery Nguh .
The authorized official title is Ceo and has the following contact phone number (240) 481-5212.

The enumeration date for this NPI number is 3/9/2022 and was last updated on 12/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2253Z00000XIn Home Supportive CareNo
3376J00000XHomemakerNo
4261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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