NPIMap

Organization Active NPI

Paradise LLC

  • Private Vehicle
  • Aurora, CO
National Provider Identifier
1548593296
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
PARADISE LLC
Practice address
10691 E Bethany Dr
Unit 900
Aurora, CO 80014-2643
Phone
(720) 220-1377
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 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
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

10691 E Bethany Dr
Unit 900
Aurora, CO 80014-2643

Mailing address

10691 E Bethany Dr
Unit 900
Aurora, CO 80014-2643
Phone (720) 220-1377

Other identifiers 2

IdentifierTypeStateIssuer
96507080MedicaidCO
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.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1548593296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10691 E BETHANY DR",
            "address_2": "UNIT 900",
            "city": "AURORA",
            "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",
            "address_2": "UNIT 900",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142643",
            "telephone_number": "720-220-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "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": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96507080",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38776561",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.