Paradise Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PARADISE HOME CARE LLC

Practice address

422 Labrador LN
Jefferson HLS, PA 15025-5239

Phone

(510) 689-4140

NPI assigned

Mar 12, 2020

Last updated

Mar 12, 2020By 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

Jiwan Pradhan

Title

Vice President

Phone

(336) 689-4140

Specialties & licenses 1

Addresses

Other names 1

• N/A Other name

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1194351924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 LABRADOR LN",
            "city": "JEFFERSON HLS",
            "state": "PA",
            "postal_code": "150255239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 LABRADOR LN",
            "city": "JEFFERSON HLS",
            "state": "PA",
            "postal_code": "150255239",
            "telephone_number": "510-689-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "PRADHAN",
        "authorized_official_first_name": "JIWAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-689-4140"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marissa Pfoff Pavlinich, MD

• Home Health Agency in Jefferson HLS, PA
• Providers in Jefferson HLS, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.