Active NPI
Paradise Treatment Services I LLC
- Clinic/Center
- Phoenix, AZ
National Provider Identifier
1639815467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PARADISE TREATMENT SERVICES I LLC
- Practice address
- 4530 E Ray Rd Ste 172
Phoenix, AZ 85044-6099 - Phone
- (202) 718-9939
- NPI assigned
- May 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clovis Hermann Lawin
- Title
- Owner
- Phone
- (202) 718-9939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
4530 E Ray Rd Ste 172
Phoenix, AZ 85044-6099
Mailing address
4530 E Ray Rd Ste 172
Phoenix, AZ 85044-6099
Phone (202) 718-9939
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1639815467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E RAY RD STE 172",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446099",
"telephone_number": "202-718-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E RAY RD STE 172",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446099",
"telephone_number": "202-718-9939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADISE TREATMENT SERVICES I LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-05",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "LAWIN",
"authorized_official_first_name": "CLOVIS",
"authorized_official_middle_name": "HERMANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "202-718-9939"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Paradise Hearing and Balance LLC
- Paradise Home Care LLC
- Paradise Patient Care, LLC
- Paradise Ridge Family Dentistry LLC
- Annette Diane Paradise Shue
- Paradise Valley
- Paradise Valley Allergy Assoc LTD
- Paradise Valley Behavioral Health
- Paradise Valley Behavioral Health
- Paradise Valley Behavioral Heath Inna
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.