Paradise Assisted Living

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

03AL625-F Issued in MD

Legal business name

PARADISE ASSISTED LIVING

Practice address

6348 Frederick Rd
Catonsville, MD 21228-2303

Phone

(410) 744-8434

NPI assigned

Feb 2, 2012

Organization subpart

No

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

Authorized official

Name

Glen Lindengren

Title

President

Phone

(410) 744-8434

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1205108545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6348 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282303",
            "telephone_number": "410-744-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "LINDENGREN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-744-8434"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MD",
            "license": "03AL625-F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Oyler, M.D.
• Eunice Pagapulaan
• Gabrielle Gaimaro Palumbo, OT
• Shivakshi Bina Pancholi, DDS
• Caroline Pancotti, RN
• Paradise Professional Pharmacy Inc (Paradise Professional Pharmacy)
• Jyotin Parikh
• Leena D Parikh, M.D.
• Leslie Anne Parker, PHD
• Michael Patrick Parsons, M.D.

• Assisted Living Facility (Behavioral Disturbances) in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Assisted Living Facility (Behavioral Disturbances) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.