# RADIANT HEART HOME CARE LLC

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

## Provider details

- **NPI number:** 1619598117
- **Authorized official:** GENEVIEVE MARTIN (ADMINISTRATOR)
- **Authorized official phone:** (469) 500-5582

## Contact information

- **Practice address:** 3115 LAKESIDE DR, ROCKWALL, TX 75087-5320
- **Practice address phone:** (469) 500-5582
- **Mailing address:** 3115 LAKESIDE DR, ROCKWALL, TX 75087-5320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 05/06/2020
- **Last updated:** 03/20/2025