RADIANT RECOVERY RESIDENCES LLC
NPI 1942065123
Home Health in Saint Paul, MN

Active since February 16, 2024
1955 UNIVERSITY AVE W STE 205, SAINT PAUL, MN 55104(612) 232-9089 Get Directions Write a Review

NPPES record last updated: February 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Home Health

About RADIANT RECOVERY RESIDENCES LLC

This page provides the complete NPI Profile along with additional information for Radiant Recovery Residences Llc, a provider established in Saint Paul, Minnesota operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1942065123 assigned on February 2024. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mohamed A Ali (Ceo)

NPI
1942065123 Verify this NPI
Provider Name
RADIANT RECOVERY RESIDENCES LLC
Entity Type
Organization
Location Address
1955 UNIVERSITY AVE W STE 205 SAINT PAUL, MN 55104
Location Phone
(612) 232-9089
Mailing Address
1955 UNIVERSITY AVE W STE 205 SAINT PAUL, MN 55104
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2024
Last Update Date
02-17-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOHAMED A ALI

Authorized Official Title
CEO
Authorized Official Phone
(612) 232-9089

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Non-emergency Medical Transport (VAN)
1955 UNIVERSITY AVE W STE 205
SAINT PAUL, MN 55104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942065123, enumerated as an "organization" on February 16, 2024.

The provider is located at 1955 UNIVERSITY AVE W STE 205 SAINT PAUL, MN 55104 and the phone number is (612) 232-9089.

Home Health with taxonomy code 251E00000X.