Paradise Creek Homes

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PARADISE CREEK HOMES

Practice address

42714 N Murphy Ave
San Tan Valley, AZ 85140-9813

Phone

(202) 718-9939

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Clovis Hermann Lawin

Title

Ceo

Phone

(202) 718-9939

Specialties & licenses 1

Addresses

Other names 1

• Paradise creek homes LLC Doing business as

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1104458090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 E CORBIN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85212",
            "telephone_number": "480-331-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42714 N MURPHY AVE",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409813",
            "telephone_number": "202-718-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE CREEK HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "LAWIN",
        "authorized_official_first_name": "CLOVIS",
        "authorized_official_middle_name": "HERMANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-718-9939"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise creek homes LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresia Owusu, RN
• Kayla Padgett
• Pain Institute of Southern Arizona Pisa PC
• Nina Palermo, MSN, APRN, FNP-C
• Deepika Panday, MD
• Sonia Parker
• Bulah Ann Parsells, FNP-BC
• Mariana Araceli Patino
• Patricia Taylor P Taylor Consulting
• Susan Patten

• Substance Abuse Rehabilitation Facility in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.