Real Paradise Community Living Center, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

REAL PARADISE COMMUNITY LIVING CENTER, LLC

Practice address

201 N Winfree St
Dayton, TX 77535-2653

Phone

(832) 581-4343

Fax

(832) 581-4345

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Olubukola Folarin

Title

Administrator

Phone

(832) 257-5837

Specialties & licenses 2

Addresses

Other names 1

• Synergy HomeCare of Dayton Other name

Locations

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1023870334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N WINFREE ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352653",
            "telephone_number": "832-581-4343",
            "fax_number": "832-581-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N WINFREE ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352653",
            "telephone_number": "832-581-4343",
            "fax_number": "832-581-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL PARADISE COMMUNITY LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-05-13",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "FOLARIN",
        "authorized_official_first_name": "OLUBUKOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-257-5837"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of Dayton",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Synergy HomeCare of Dayton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in Dayton, TX
• Providers in Dayton, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.