NPIMap

Organization Active NPI

Paradigm, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Dover, NC
National Provider Identifier
1396006011
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PARADIGM, INC.
Practice address
120 Sleepy Ridge Dr
Dover, NC 28526-8994
Phone
(252) 561-8112
Fax
(252) 561-7455
NPI assigned
May 30, 2012
Last updated
May 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Jason Barnett
Title
Ceo
Phone
(252) 714-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

120 Sleepy Ridge Dr
Dover, NC 28526-8994

Mailing address

PO Box 31091
Greenville, NC 27833-1091
Phone (252) 561-8112

Other identifiers 1

IdentifierTypeStateIssuer
3408149MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Paradigm Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1396006011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31091",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278331091",
            "telephone_number": "252-561-8112",
            "fax_number": "252-561-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SLEEPY RIDGE DR",
            "city": "DOVER",
            "state": "NC",
            "postal_code": "285268994",
            "telephone_number": "252-561-8112",
            "fax_number": "252-561-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-714-1230"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.