# RADIANCE RESIDENTIAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568266906
- **Authorized official:** DIANA DENISE BARNES RN (OWNER)
- **Authorized official phone:** (317) 698-9989

## Contact information

- **Practice address:** 2928 BRIARCHASE CT, INDIANAPOLIS, IN 46268-5087
- **Practice address phone:** (317) 698-9989
- **Mailing address:** 2928 BRIARCHASE CT, INDIANAPOLIS, IN 46268-5087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | — | — |
| 177F00000X | Lodging Provider | — | — | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | — |
| 311ZA0620X | Adult Care Home Facility | — | — | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | — | — |
| 347C00000X | Private Vehicle | — | — | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 04/03/2025
- **Last updated:** 04/03/2025