Organization Active NPI

Paradox Northwest Associates, Inc.

Doing business as Homewatch CareGivers of Vancouver

  • In Home Supportive Care Agency
  • Vancouver, WA
National Provider Identifier
1164838819
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HIS.FS.00000007 Issued in WA
Legal business name
PARADOX NORTHWEST ASSOCIATES, INC.
Doing business as
Homewatch CareGivers of Vancouver
Practice address
12214 SE Mill Plain Blvd Ste 201
Vancouver, WA 98684-6019
Phone
(360) 992-5956
Fax
(360) 992-5958
NPI assigned
Jul 2, 2014
Organization subpart
Yes
Parent organization
CARSON HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Wesley Carson
Title
President
Phone
(360) 992-5956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HIS.FS.00000007 WA Primary

Addresses

Primary practice location

12214 SE Mill Plain Blvd Ste 201
Vancouver, WA 98684-6019

Mailing address

12214 SE Mill Plain Blvd Ste 201
Vancouver, WA 98684-6019
Phone (360) 992-5956

Other names 1

  • Homewatch CareGivers of Vancouver Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Homewatch Caregivers of Southwest Washington3 organizations share this tax ID, including this one
Part of
Carson Holdings LLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1164838819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12214 SE MILL PLAIN BLVD STE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846019",
            "telephone_number": "360-992-5956",
            "fax_number": "360-992-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12214 SE MILL PLAIN BLVD STE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846019",
            "telephone_number": "360-992-5956",
            "fax_number": "360-992-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADOX NORTHWEST ASSOCIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARSON HOLDINGS, LLC",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-992-5956"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "HIS.FS.00000007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers of Vancouver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.