Organization Active NPI

Paradise, LLC.

  • Home Health Agency
  • Denver, CO
National Provider Identifier
1447485628
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10D453 Issued in CO
Legal business name
PARADISE, LLC.
Practice address
10691 E Bethany Dr
Denver, CO 80014-2643
Phone
(720) 220-1377
NPI assigned
May 18, 2009
Last updated
May 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Boris Smoroda
Title
Manager
Phone
(720) 220-1377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10D453 CO Primary

Addresses

Primary practice location

10691 E Bethany Dr
Denver, CO 80014-2643

Mailing address

10691 E Bethany Dr
Denver, CO 80014-2643
Phone (720) 220-1377

Other identifiers 1

IdentifierTypeStateIssuer
38776561MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Paradise LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

10691 E Bethany Dr
Denver, CO 80014
Phone (720) 220-1377

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1447485628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10691 E BETHANY DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "800142643",
            "telephone_number": "720-220-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10691 E BETHANY DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "800142643",
            "telephone_number": "720-220-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "SMORODA",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-220-1377"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "10D453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38776561",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.