Organization Active NPI

Paradise Development Group LLC

  • Health Service Clinic/Center
  • Baltimore, MD
National Provider Identifier
1477318491
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PARADISE DEVELOPMENT GROUP LLC
Practice address
2900 E Oliver St
Baltimore, MD 21213-3915
Phone
(443) 992-6183
NPI assigned
Feb 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Shawn Bell
Title
Ceo
Phone
(443) 992-6183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2900 E Oliver St
Baltimore, MD 21213-3915

Mailing address

2900 E Oliver St
Baltimore, MD 21213-3915
Phone (443) 992-6183

National Provider Directory

National Provider Directory

Locations

2900 E Oliver St
Baltimore, MD 21213
Phone (240) 687-0890

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1477318491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E OLIVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133915",
            "telephone_number": "443-992-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E OLIVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133915",
            "telephone_number": "443-992-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE DEVELOPMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-992-6183"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.