Organization
RADIANCE RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA DENISE BARNES RN (OWNER)
(317) 698-9989
Entity
Organization
Contact information
Practice address
2928 BRIARCHASE CT, INDIANAPOLIS, IN 46268-5087
(317) 698-9989
Mailing address
2928 BRIARCHASE CT, INDIANAPOLIS, IN 46268-5087
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
—
—
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
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