Look up the most recent NPI and PECOS records

Radiant Hope Behavioral Services Llc

Community/Behavioral Health

Agencies

3130 S Rainbow Blvd Ste 304b, Las Vegas, NV 89146-6212

PECOS Enrollment

Based on the most recent information from CMS, provider Radiant Hope Behavioral Services Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1215534276
Provider Type
Organization
Full Name
Radiant Hope Behavioral Services Llc

Subpart
No
Enumeration Date
10/2/2020
Last Updated
10/2/2020

Contact Information

Practice Location

3130 S Rainbow Blvd Ste 304b, Las Vegas, NV 89146-6212

(702) 202-3374

Unlisted Fax

Mailing Location

3130 S Rainbow Blvd Ste 304b, Las Vegas, NV 89146-6212

(702) 202-3374

Unlisted Fax

Authorized Official

Gamboa, Edward (Ceo)

(702) 202-3848

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 261QM0801X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer

Radiant Hope Behavioral Services Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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