Paradise Professional Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PARADISE PROFESSIONAL CARE INC

Doing business as

Paradise Professional Care Inc

Practice address

4760 S Pecos Rd Ste 103-19
Las Vegas, NV 89121-6038

Phone

(702) 929-6316

Fax

(702) 207-1006

NPI assigned

Oct 15, 2015

Last updated

Oct 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Martha C Moquete

Title

Admonistrator

Phone

(702) 929-6316

Specialties & licenses 1

Addresses

Other names 1

• Paradise Professional Care Inc Doing business as

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1538530514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD STE 103-19",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216038",
            "telephone_number": "702-929-6316",
            "fax_number": "702-207-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD STE 103-19",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216038",
            "telephone_number": "702-929-6316",
            "fax_number": "702-207-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE PROFESSIONAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "MOQUETE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMONISTRATOR",
        "authorized_official_telephone_number": "702-929-6316",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Professional Care Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Paradise Park Children's Dental Clinic
• Paradise Park Place LLC (Paradise Park Place)
• Paradise Ranch, LLC
• Paradise Village Dental
• Paradoxiq
• Pawel Parafianowicz, MD
• Bleselda G Paragas, PA-C

• In Home Supportive Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• In Home Supportive Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.