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Radiant Home Care LLC

NPI 1124423454ActiveOrganization· In Home Supportive Care· Gallup, NM

In Home Supportive Care in Gallup, New Mexico, registered in NPPES in October 2014. The authorized official on file is Derrick Bonney, Program Director.

Overview

NPI1124423454
StatusActive
Entity typeOrganization
NPI issuedOct 29, 2014
Last updated in NPPESOct 29, 2014

Specialties and licenses

TaxonomyCodeLicenseState
In Home Supportive Care Primary253Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other In Home Supportive Care providers in Gallup

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