Provider Demographics
NPI:1649863846
Name:RADIANT HOSPICE & PALLIATIVE CARE LLC
Entity type:Organization
Organization Name:RADIANT HOSPICE & PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISAIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:EASTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:678-323-9334
Mailing Address - Street 1:103 JONESBORO RD STE B2
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-3169
Mailing Address - Country:US
Mailing Address - Phone:678-729-8758
Mailing Address - Fax:678-729-8772
Practice Address - Street 1:103 JONESBORO RD STE B2
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-3169
Practice Address - Country:US
Practice Address - Phone:678-729-8758
Practice Address - Fax:678-729-8772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based