Sensational Paradise Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SENSATIONAL PARADISE ASSISTED LIVING LLC

Practice address

4056 N 41St St
Milwaukee, WI 53216-1606

Phone

(414) 388-5492

NPI assigned

Dec 26, 2019

Organization subpart

No

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

Authorized official

Name

Lachelle Brown

Title

Owner

Phone

(414) 388-5492

Specialties & licenses 1

Addresses

Other names 1

• Sensational Paradise Living Center LLC Other name

Electronic endpoints 1

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1205475043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 N 85TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532255108",
            "telephone_number": "414-388-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 N 41ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161606",
            "telephone_number": "414-388-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSATIONAL PARADISE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LACHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-388-5492"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Milwaukee",
            "affiliation": "N",
            "address_1": "4056 N 41st St",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532161606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sensational Paradise Living Center LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.