Paradise at Georgia Ave, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PARADISE AT GEORGIA AVE, LLC

Practice address

5100 Georgia Ave NW
Washington, DC 20011-3958

Phone

(202) 774-8553

NPI assigned

Mar 15, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Leonard Washington Smith Jr.

Title

Executive Director

Phone

(202) 880-4577

Specialties & licenses 1

Addresses

Other names 1

• Maple Heights Senior Living Doing business as

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1174082549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113958",
            "telephone_number": "202-774-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113958",
            "telephone_number": "202-774-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE AT GEORGIA AVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "WASHINGTON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-880-4577",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Heights Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sultana Paqiri, RDN, LD, MS
• Dennis Quentin Paquette, MPT
• Rachel Paquette, DO
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• Ambra Parahoo
• Andrea Parahoo
• Ashley Paraiso, L.AC
• Sabin Parajuli, MD
• Meshach Suguna Paramanandam

• Assisted Living Facility in Washington, DC
• Providers in Washington, DC by specialty
• Assisted Living Facility in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.