Paradise Valley Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PARADISE VALLEY HOSPICE INC

Practice address

2834 Bobcat TRL NW
Prior Lake, MN 55372-4500

Phone

(480) 742-0310

NPI assigned

Mar 17, 2023

Organization subpart

No

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

Authorized official

Name

Enoch Amoah, ADMINISTRATOR

Title

Ceo

Phone

(480) 742-0310

Specialties & licenses 1

Addresses

Other names 1

• Paradise Valley Hospice INC Former legal business name

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1134820913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 BOBCAT TRL NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553724500",
            "telephone_number": "480-742-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 BOBCAT TRL NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553724500",
            "telephone_number": "480-742-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE VALLEY HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "AMOAH",
        "authorized_official_first_name": "ENOCH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-742-0310",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Valley Hospice INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amy Lynn Onson, RN, IBCLC, PHN
• Optage Inc
• Optimal Health LLC
• Orthodontic Care Group
• Riley Ostertag, PA-C
• Park Nicollet Health Care Products
• Andrew Parker
• Pathways Chiropractic Health Center of Prior Lake, PA
• Carina Patnode, DC
• Laura Grace Patton, PA-C

• All providers in Prior Lake, MN
• Community Based Hospice Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.