Organization
RADIANT HEALTH CARE, INC
Active
Other names
K.A.S.T. Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA L. MBACKE (AGENCY ADMINISTRATOR)
(919) 264-2916
Entity
Organization
Contact information
Practice address
4609 SMARTY JONES DRIVE, KNIGHTDALE, NC 27545
(919) 790-9826
(240) 359-7102
Mailing address
4609 SMARTY JONES DRIVE, KNIGHTDALE, NC 27545
(919) 790-9826
(240) 359-7102
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
HC3598
NC
372600000X
Adult Companion
HC3598
NC
3747P1801X
Personal Care Attendant
HC3598
NC
376K00000X
Nurse's Aide
Primary
HC3598
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC3598
NCDFS-LICENSE #
NC
Enumeration date
12/28/2006
Last updated
09/11/2025
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