Radiance Renewed

LBN: Radiance Renewed
Radiance Renewed is an health care organization with primary practice located at 9445 Indianapolis Blvd Ste 1042 , Highland IN 46322-2648. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Radiance Renewed can be contacted via phone (219) 689-9104, or through Wright, Tatanisha via phone (219) 689-9104.

Contact Information

Primary practice address
9445 Indianapolis Blvd Ste 1042 Highland IN 46322-2648
Phone: (219) 689-9104
Fax: (985) 251-2701
Website:
Map and Directions
Authorized official contact:
Name: Wright, Tatanisha
Phone: (219) 689-9104

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1154941557
LBN Legal business name Radiance Renewed
DBA Doing business as
Authorized official Wright, Tatanisha
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2020
Last updated Apr 26th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers