Paradise Care Homes LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH-4989 Issued in AZ

Legal business name

PARADISE CARE HOMES LLC

Doing business as

Paradise 1 at Prescott

Practice address

1812 Willow Creek Rd
Prescott, AZ 86301-1157

Phone

(928) 541-1514

Fax

(928) 541-1514

NPI assigned

Sep 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brian Reed

Title

Ceo

Phone

(928) 541-1514

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paradise 1 at Prescott Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013008259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011157",
            "telephone_number": "928-541-1514",
            "fax_number": "928-541-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011157",
            "telephone_number": "928-541-1514",
            "fax_number": "928-541-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-541-1514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-4989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "123293",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise 1 at Prescott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Russell Leon Palmer Jr., RT, BS
• Sandra F Palmer, RN
• Jacqueline Natalie Paluch, PHARMD
• Arabinda Kahna Pani, M.D.
• Candice Panton, NP
• Paramount Recovery Center LLC
• Paramount Recovery Center LLC
• Paramount Recovery Services, LLC
• Roberto A Paredes, NP
• Hayley Susanne Park, MT-BC

• Assisted Living Facility in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.