Paradise Behavioral Health & Recovery Support Services

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PARADISE BEHAVIORAL HEALTH & RECOVERY SUPPORT SERVICES

Practice address

634 Kilani Ave
Wahiawa, HI 96786-1946

Phone

(401) 684-8808

Fax

(808) 638-4575

NPI assigned

Nov 9, 2022

Organization subpart

No

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

Authorized official

Name

Tameka Wilcox

Title

Ceo

Phone

(909) 257-4287

Specialties & licenses 6

Addresses

Other names 1

• Paradise Behavioral Health & Recovery Support Services Doing business as

Locations

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1174231120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860010",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967860010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 KILANI AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861946",
            "telephone_number": "401-684-8808",
            "fax_number": "808-638-4575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Ululani St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967202933",
            "country_code": "US",
            "telephone_number": "808-862-2086",
            "fax_number": "808-443-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARADISE BEHAVIORAL HEALTH & RECOVERY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-257-4287"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Behavioral Health & Recovery Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Archnaben Patel, PA-C
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• Substance Use Disorder Rehabilitation Clinic/Center in Wahiawa, HI
• Providers in Wahiawa, HI by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.