Paradise Residential Care Facilities for the Elderly

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

374601799 Issued in CA

Legal business name

PARADISE RESIDENTIAL CARE FACILITIES FOR THE ELDERLY

Practice address

1581 Sycamore Dr
Fallbrook, CA 92028-9100

Phone

(760) 728-1900

Fax

(760) 728-2225

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Fattaneh Moghadam-Yekta

Title

Licensed Administrator

Phone

(858) 342-9104

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1609184522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503916",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921503916",
            "telephone_number": "760-728-1900",
            "fax_number": "858-672-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 SYCAMORE DR",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920289100",
            "telephone_number": "760-728-1900",
            "fax_number": "760-728-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE RESIDENTIAL CARE FACILITIES FOR THE ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "MOGHADAM-YEKTA",
        "authorized_official_first_name": "FATTANEH",
        "authorized_official_title_or_position": "LICENSED ADMINISTRATOR",
        "authorized_official_telephone_number": "858-342-9104",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "374601799",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CA",
            "license": "374601799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.