Paradise Residential LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PARADISE RESIDENTIAL LLC

Practice address

132 Joffre St
Mobile, AL 36610-1729

Phone

(251) 550-4176

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Lakesha Moneke Thomas

Title

Executive Director

Phone

(251) 550-4176

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1295592368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 SWANSEA DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081779",
            "telephone_number": "251-344-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 JOFFRE ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366101729",
            "telephone_number": "251-550-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LAKESHA",
        "authorized_official_middle_name": "MONEKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-550-4176"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Panmee
• Nirav Bharatbhai Pansuriya
• Amit Pant, MD
• Jeffrey John Pappas, LCSW
• Nicholas J Pappas, LCSW, LLC, LCSW
• Christine Paragone, PA
• Madison Claire Parfait
• Kevin James Parham
• Susan Paris, OT
• Christopher A Park, M.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Mobile, AL
• Providers in Mobile, AL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.