Paradise Adults Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

025013271I Issued in GA

Legal business name

PARADISE ADULTS CARE

Practice address

124 Ropemaker LN
4 Belvedere Drive
Wilmington Island, GA 31410-2018

Phone

(912) 335-2991

NPI assigned

Aug 2, 2012

Last updated

Aug 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joanne Harrigan

Title

Administrator

Phone

(912) 323-8552

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1104172568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30752",
            "city": "WILMINGTON ISLAND",
            "state": "GA",
            "postal_code": "314100752",
            "telephone_number": "912-323-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ROPEMAKER LN",
            "address_2": "4 BELVEDERE DRIVE",
            "city": "WILMINGTON ISLAND",
            "state": "GA",
            "postal_code": "314102018",
            "telephone_number": "912-335-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE ADULTS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "HARRIGAN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-323-8552",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "025013271I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cezerina Gavoci

• Adult Care Home Facility in Wilmington Island, GA
• Providers in Wilmington Island, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.