Paradise Independent Living, LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

PARADISE INDEPENDENT LIVING, LLC

Practice address

4035 Naco Perrin Blvd
San Antonio, TX 78217-2513

Phone

(832) 893-9440

NPI assigned

Nov 15, 2022

Last updated

Nov 15, 2022By 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

Bridget J Hall

Title

Owner

Phone

(832) 893-9440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1134837552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 CLARK AVE UNIT 23389",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782230681",
            "telephone_number": "832-893-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 NACO PERRIN BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172513",
            "telephone_number": "832-893-9440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1067 Linde St",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781305961",
            "country_code": "US",
            "telephone_number": "210-929-7586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARADISE INDEPENDENT LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-893-9440"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Private Vehicle in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.