RADIANCE HEALTH GROUP, LLC (NPI# 1679069132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679069132 |
| Entity Type | Organization |
| Organization Name | RADIANCE HEALTH GROUP, LLC |
| Practice Address |
104 N Sprigg St Cape Girardeau MO 63701-5528 |
| Practice Telephone | 5734011650 |
| Mailing Telephone | 5734011650 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | JACKSON PRESTON III (OWNER) |
| Authorized Official Telephone | 5734011650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
104 N SPRIGG ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-5528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821553793 | Alpha Medical, LLC | Durable Medical Equipment & Medical Supplies | 338 Broadway St Ste 312, Cape Girardeau, MO 63701-7331 | 2019-02-05 |
| 1669963187 | Superior Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1021 Kingsway Dr, Cape Girardeau, MO 63701-3601 | 2018-05-21 |
| 1881103299 | Mc Medical Supply | Durable Medical Equipment & Medical Supplies | 353 Christine St Ste 2, Cape Girardeau, MO 63703-5810 | 2017-09-28 |
| 1982007258 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2021 Independence St, Cape Girardeau, MO 63703-5805 | 2014-10-01 |
| 1821428988 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2161 William St, Cape Girardeau, MO 63703-5817 | 2013-11-26 |
| 1235414111 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 402 S Silver Springs Rd Ste 101a, Cape Girardeau, MO 63703-7536 | 2011-10-11 |
| 1780974832 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 232 Shirley Dr, Cape Girardeau, MO 63701-8478 | 2011-04-11 |
| 1982859286 | Provider Plus Inc | Durable Medical Equipment & Medical Supplies | 252 Siemers Dr, Cape Girardeau, MO 63701-8419 | 2008-12-01 |
| 1194880005 | Marion Eye Centers, Ltd. | Durable Medical Equipment & Medical Supplies | 297 Silver Springs Rd., Cape Girardeau, MO 63701 | 2006-12-22 |
| 1093889958 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 3065 William St Ste 205, Cape Girardeau, MO 63703-6373 | 2006-11-20 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.