Paradise Valley Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

405800445 Issued in CA

Legal business name

PARADISE VALLEY CARE

Practice address

9525 Gallina CT
Atascadero, CA 93422-1710

Phone

(805) 461-8831

Fax

(805) 461-5818

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Milan Vrajich

Title

Administrator

Phone

(805) 461-8831

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1255504452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 GALLINA CT",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934221710",
            "telephone_number": "805-461-8831",
            "fax_number": "805-461-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 GALLINA CT",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934221710",
            "telephone_number": "805-461-8831",
            "fax_number": "805-461-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE VALLEY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "VRAJICH",
        "authorized_official_first_name": "MILAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-461-8831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "405800445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.