NPIMap

Organization Active NPI

Royal Paradise Group Home Inc

  • Behavior Analyst
  • West Palm Beach, FL
National Provider Identifier
1124573027
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ROYAL PARADISE GROUP HOME INC
Practice address
5496 Coconut Blvd
West Palm Beach, FL 33411-8542
Phone
(561) 305-7268
Fax
(561) 508-7494
NPI assigned
Aug 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2016

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

Authorized official

Name
Shirley BryceNPI 1245683481
Title
Director
Phone
(561) 305-7268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5496 Coconut Blvd
West Palm Beach, FL 33411-8542

Mailing address

136 Granada St
Royal Palm Beach, FL 33411-1307
Phone (561) 305-7268

Other identifiers 1

IdentifierTypeStateIssuer
003923400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Royal Paradise Group Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1124573027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 GRANADA ST",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111307",
            "telephone_number": "561-305-7268",
            "fax_number": "561-508-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5496 COCONUT BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334118542",
            "telephone_number": "561-305-7268",
            "fax_number": "561-508-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PARADISE GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "BRYCE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-305-7268"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003923400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.