Paradise Park Place LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PARADISE PARK PLACE LLC

Practice address

3159 Desmond Ave
Las Vegas, NV 89121-5613

Phone

(702) 333-0775

NPI assigned

Nov 9, 2022

Organization subpart

No

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

Authorized official

Name

Oliver Naidas

Title

Owner

Phone

(702) 281-6677

Specialties & licenses 1

Addresses

Other names 1

• Paradise Park Place Doing business as

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1093423980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 LAMBERT DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 DESMOND AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215613",
            "telephone_number": "702-333-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE PARK PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "NAIDAS",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-281-6677"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Park Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Paradise Professional Care Inc
• Paradise Ranch, LLC
• Paradise Village Dental
• Paradoxiq
• Pawel Parafianowicz, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.