Organization Active NPI

Paradise Health Care, Inc

Doing business as Paradise Health Care

  • Skilled Nursing Facility
  • Paradise, CA
National Provider Identifier
1568463214
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
230000029 Issued in CA
Legal business name
PARADISE HEALTH CARE, INC
Doing business as
Paradise Health Care
Practice address
7419 Skyway
Paradise, CA 95969-3230
Phone
(530) 877-7676
Fax
(530) 877-1549
NPI assigned
Aug 3, 2005
Last updated
Nov 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Mr. Terry Bane
Title
Chief Operating Officier
Phone
(530) 897-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 230000029 CA Primary

Addresses

Primary practice location

7419 Skyway
Paradise, CA 95969-3230

Mailing address

7419 Skyway
Paradise, CA 95969-3230
Phone (530) 877-7676

Other identifiers 1

IdentifierTypeStateIssuer
ZZR18399GMedicaidCA

Other names 1

  • Paradise Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

7419 Skyway
Paradise, CA 95969
Phone (530) 877-7676

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1568463214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7419 SKYWAY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693230",
            "telephone_number": "530-877-7676",
            "fax_number": "530-877-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7419 SKYWAY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693230",
            "telephone_number": "530-877-7676",
            "fax_number": "530-877-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "BANE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICIER",
        "authorized_official_telephone_number": "530-897-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "230000029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR18399G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paradise, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.