Paragon Quality, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

60A008 Issued in NJ

Legal business name

PARAGON QUALITY, LLC

Practice address

427 Route 46 E
Hackettstown, NJ 07840-2683

Phone

(908) 498-0102

Fax

(908) 498-0202

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Beth Polachek, CALA

Title

Executive Direcor

Phone

(908) 498-0102

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Paragon Village Doing business as

Locations

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1487091021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 ROUTE 46 E",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402683",
            "telephone_number": "908-498-0102",
            "fax_number": "908-498-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 ROUTE 46 E",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402683",
            "telephone_number": "908-498-0102",
            "fax_number": "908-498-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON QUALITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "POLACHEK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECOR",
        "authorized_official_telephone_number": "908-498-0102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CALA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "60A008",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NJ",
            "license": "60A008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029688",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALR-NJ",
            "identifier": "NJ60A008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Celani Orsini, OTR
• Aderemi Folashade Owoeye
• Devansh Govind Pandey, DO
• Panther Healthcare Clinic Inc
• Panther Healthcare Enterprises Inc
• Paragon Senior Living, LLC
• Paragon Village, LLC.
• Dhwani Parikh, M.D.
• Jin-Sir Park, D.D.S
• Adwait Babulal Patel

• Assisted Living Facility in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.