1. Home
  2. Directory
  3. Arizona
  4. Surprise
  5. Assisted Living Facility
  6. NPI Profile

RADIANT CARE HOME
NPI 1174094338
Assisted Living Facility in Surprise, AZ

Active since December 16, 2018
15174 W BOCA RATON RD, SURPRISE, AZ 85379(623) 518-4534(623) 518-4534 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2023, Feb 22, 2023, Mar 16, 2019 and 1 more (4 updates tracked since 2018).

About Radiant Care Home NPPES

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

RADIANT CARE HOME (NPI 1174094338) is a healthcare organization registered as an assisted living facility in Surprise, Arizona and active in the NPI registry since December 2018. The organization lists Juben Bontilao, Manager, as its authorized official.

NPPES Registry Identity

NPI1174094338
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRADIANT CARE HOME
Location Address15174 W BOCA RATON RDSurprise, AZ 85379-8005
Mailing Address15174 W Boca Raton RdSurprise, AZ 85379-8005 · (623) 518-4534 · Fax (623) 518-4534
Phone(623) 518-4534
Fax(623) 518-4534
Organization SubpartNo
Authorized OfficialJuben BontilaoManager · (623) 293-1396
Enumeration DateDecember 16, 2018
Last NPPES UpdateMarch 20, 20234 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1174094338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
15174 W BOCA RATON RD, Surprise, AZ 85379
Open in Google Maps ↗

Other Identifiers 2

Medicaid000000000000AZ
Other00000000000N/a

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 Care Home's NPI number?

The NPI number for Radiant Care Home is 1174094338. It was assigned to this organization in the NPPES registry on December 16, 2018.

Where is Radiant Care Home located?

Radiant Care Home is located at 15174 W Boca Raton Rd, Surprise, AZ 85379. The listed phone number is (623) 518-4534.

What is Radiant Care Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Radiant Care Home was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.