Paradigm Living Concepts, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

13-013287-1 Issued in IN

Legal business name

PARADIGM LIVING CONCEPTS, LLC

Doing business as

Paradigm Health

Practice address

8904 Bash St Ste B
Indianapolis, IN 46256-1286

Phone

(317) 735-6001

Fax

(855) 450-1177

NPI assigned

Aug 10, 2013

Organization subpart

No

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

Authorized official

Name

Jeffrey Noah Jarecki, MBA, HFA

Title

President/ Ceo

Phone

(317) 735-6001

Specialties & licenses 2

Addresses

Other names 1

• Paradigm Health Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Paradigm Living Concepts, LLC

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
  • NPI 1679194773

  O20131113001498

  Same enrollment

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Majestic Home Health LLC

  • Home Health Agency
  • Westfield, IN
  • NPI 1417527235

  Sold to, 2021-06-18

  CMS change of ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Allen Hiland, F.N.P. - B.C.

  • Family Nurse Practitioner
  • Kokomo, IN
  • NPI 1316317811
  NPD
• Tammra Kay Mallory, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1750757076
  NPD

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

{
    "created_epoch": "1376092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1316370612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 BASH ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561286",
            "telephone_number": "317-735-6001",
            "fax_number": "855-450-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8904 BASH ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561286",
            "telephone_number": "317-735-6001",
            "fax_number": "855-450-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM LIVING CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-10",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "JARECKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "NOAH",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "317-735-6001",
        "authorized_official_credential": "MBA, HFA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "13-013287-1",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradigm Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Van Par
• Brooke Nicole Para, MD
• Ibrar Faqir Paracha, M.D.
• Paul T Parackal, M.D.
• Anne Parada, PHARMD
• Paradigm Living Concepts, LLC
• Paradigm Living Concepts, LLC
• Paradis Isles Wellness, LLC
• Paradise Dental LLC
• Paradox DDS

• Home Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.