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RADIANT HOME CARE LLC
NPI 1124423454
In Home Supportive Care in Gallup, NM

Active since October 29, 2014CLIA 32D2207367 · Waiver
101 SOUTH CLARK STREET, GALLUP, NM 87301(505) 722-9951 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Radiant Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADIANT HOME CARE LLC (NPI 1124423454) is a healthcare organization registered as an in home supportive care in Gallup, New Mexico and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Derrick Bonney, Program Director, as its authorized official.

NPPES Registry Identity

NPI1124423454
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameRADIANT HOME CARE LLC
Location Address101 SOUTH CLARK STREETGallup, NM 87301
Mailing Address101 South Clark StreetGallup, NM 87301 · (505) 722-9951
Phone(505) 722-9951
Organization SubpartNo
Authorized OfficialDerrick BonneyProgram Director · (505) 722-9951
Enumeration DateOctober 29, 2014
✔ NPI 1124423454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
101 SOUTH CLARK STREET, Gallup, NM 87301
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2207367

Radiant Home Healthcare LLC · Gallup, NM
Active · expires Dec 27, 2026
CLIA Number32D2207367
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorDerrick G. Bonneyt
Laboratory Phone(505) 722-9951
Laboratory LocationRadiant Home Healthcare LLC1210 E Historic Highway 66, Gallup, NM 87301
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radiant Home Care LLC's NPI number?

The NPI number for Radiant Home Care LLC is 1124423454. It was assigned to this organization in the NPPES registry on October 29, 2014.

Where is Radiant Home Care LLC located?

Radiant Home Care LLC is located at 101 South Clark Street, Gallup, NM 87301. The listed phone number is (505) 722-9951.

What is Radiant Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Radiant Home Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2207367) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Radiant Home Care LLC was last updated on October 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.