Organization Active NPI

Paramount Residential Care LLC

  • Adult Care Home Facility
  • Madison, WI
National Provider Identifier
1639084601
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
PARAMOUNT RESIDENTIAL CARE LLC
Practice address
4252 Doncaster Dr Unit 2
Madison, WI 53711-3754
Phone
(608) 239-2181
NPI assigned
Aug 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Authorized official

Name
Abdulfatah Mohamed
Title
Owner
Phone
(650) 933-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

4252 Doncaster Dr Unit 2
Madison, WI 53711-3754

Mailing address

4252 Doncaster Dr Unit 2
Madison, WI 53711-3754
Phone (608) 239-2181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786752000000",
    "number": "1639084601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 DONCASTER DR UNIT 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537113754",
            "telephone_number": "608-239-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 DONCASTER DR UNIT 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537113754",
            "telephone_number": "608-239-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-15",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDULFATAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-933-3939"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.