Active NPI
Aging Paradise Inc.
Doing business as Aging Paradise
- Home Health Agency
- Oakland Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AGING PARADISE INC.
- Doing business as
- Aging Paradise
- Practice address
- 1620 West Oakland Park Blvd Ste 203
Oakland Park, FL 33311 - Phone
- (954) 431-8808
- Fax
- (954) 431-8898
- NPI assigned
- May 7, 2008
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Solomon Mathew Jr.
- Title
- President
- Phone
- (954) 940-8555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | FL | Primary |
Addresses
Primary practice location
1620 West Oakland Park Blvd Ste 203
Oakland Park, FL 33311
Mailing address
1620 West Oakland Park Blvd. Ste 203
Oakland Par, FL 33311
Phone (954) 431-8808
Other names 1
- Aging Paradise
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090408000204 | FL | Part A Provider - Home Health Agency | 0840347803 | Practice locations: Oakland Park, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1427224666. Details of each certification follow.
Home health agency certification: CCN 109502
- Legal name
- AGING PARADISE, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 16, 2010
- Last certification
- Sep 29, 2014
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 1620 W. Oakland Park Blvd.
Ste. 203
Oakland Park, FL 33311-1506
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Aging Paradise Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 16, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1620 W Oakland Park Blvd
Ste 203
Oakland Park, FL 33311
Phone (954) 431-8808
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Cyril George | 5% Or Greater Direct Ownership Interest | Jun 16, 2021 | 50% |
| Shirly Philip | W-2 Managing Employee | Jun 16, 2021 | 100% |
| Roni Quintana | Corporate Director | Apr 1, 2021 | 100% |
| Solomon Mathew Living Trust | 5% Or Greater Direct Ownership Interest | Apr 1, 2021 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1023541315
Home health agency
-
- Family Medicine Physician
- Fort Lauderdale, FL
- NPI 1356597785
Home health agency
-
- Psychiatric/Mental Health Nurse Practitioner
- Belle Glade, FL
- NPI 1194248443
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1427224666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 WEST OAKLAND PARK BLVD. STE 203",
"city": "OAKLAND PAR",
"state": "FL",
"postal_code": "33311",
"telephone_number": "954-431-8808",
"fax_number": "954-431-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 WEST OAKLAND PARK BLVD STE 203",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "33311",
"telephone_number": "954-431-8808",
"fax_number": "954-431-8898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGING PARADISE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-07",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MATHEW",
"authorized_official_first_name": "SOLOMON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-940-8555",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aging Paradise",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.