Organization Active NPI

Paradise Home Care LLC

  • In Home Supportive Care Agency
  • Kentwood, MI
National Provider Identifier
1407461353
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PARADISE HOME CARE LLC
Practice address
3680 44TH St SE Ste 250
Kentwood, MI 49512-3953
Phone
(517) 512-2923
NPI assigned
Sep 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Sagar Dangal
Title
Founder/Owner
Phone
(517) 512-2923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3680 44TH St SE Ste 250
Kentwood, MI 49512-3953

Mailing address

5315 Discovery Dr SE
Kentwood, MI 49508-6656
Phone (517) 512-2923

Other practice location 1

5315 Discovery Dr SE
Kentwood, MI 49508-6656
Phone (517) 512-2923

National Provider Directory

National Provider Directory

Locations

3680 44th St SE
Ste 250
Kentwood, MI 49512
Phone (517) 512-2923

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1407461353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 DISCOVERY DR SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086656",
            "telephone_number": "517-512-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 44TH ST SE STE 250",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495123953",
            "telephone_number": "517-512-2923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5315 Discovery Dr SE",
            "address_purpose": "LOCATION",
            "city": "Kentwood",
            "state": "MI",
            "postal_code": "495086656",
            "country_code": "US",
            "telephone_number": "517-512-2923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARADISE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "DANGAL",
        "authorized_official_first_name": "SAGAR",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "517-512-2923"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.