Elderly Home Paradise, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELDERLY HOME PARADISE, LLC

Practice address

140 Oaxaca LN
Kissimmee, FL 34743-7019

Phone

(407) 350-5904

Fax

(407) 641-8319

NPI assigned

May 13, 2022

Organization subpart

No

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

Authorized official

Name

Maria Ruiz

Title

Administrator

Phone

(407) 350-5904

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1164169082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OAXACA LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437019",
            "telephone_number": "407-350-5904",
            "fax_number": "407-641-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OAXACA LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437019",
            "telephone_number": "407-350-5904",
            "fax_number": "407-641-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERLY HOME PARADISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-350-5904"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.