Radiant Recharge Llc

LBN: Radiant Recharge Llc
Radiant Recharge Llc is an health care organization with primary practice located at 466 Sw Port St Lucie Blvd Ste 114 , Port St Lucie FL 34953-2091. The organization recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / Home Health, Technologists, Technicians & Other Technical Service Providers / Phlebotomy, Agencies / Nursing Care, Agencies / Public Health or Welfare. Nursing Service Providers / Home Health is the primary health care specialty. Radiant Recharge Llc can be contacted via phone (772) 837-0500, or through Frazier, Jessica L via phone (309) 712-1815.

Contact Information

Primary practice address
466 Sw Port St Lucie Blvd Ste 114 Port St Lucie FL 34953-2091
Phone: (772) 837-0500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frazier, Jessica L Registered Nurse (RN)
Phone: (309) 712-1815

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X
Nursing Service Providers / Home Health 163WH0200X
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X
Agencies / Nursing Care 251J00000X
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1366204927
LBN Legal business name Radiant Recharge Llc
DBA Doing business as
Authorized official Frazier, Jessica L Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2024
Last updated Jan 29th, 2024 - about 8 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366204927 NPPES
Illinois Other 1093305062 REGISTERED NURSE

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