Paradise Villa Senior Care,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

079200312 Issued in CA

Legal business name

PARADISE VILLA SENIOR CARE,LLC

Practice address

836 San Simeon Dr
Concord, CA 94518-2245

Phone

(925) 446-6651

NPI assigned

Aug 25, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Konah Josephine Dolo, RN, BSN, PHN

Title

Owner/Administrator

Phone

(704) 236-7133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1649725144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 SAN SIMEON DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182245",
            "telephone_number": "925-446-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 SAN SIMEON DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182245",
            "telephone_number": "925-446-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE VILLA SENIOR CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "DOLO",
        "authorized_official_first_name": "KONAH",
        "authorized_official_middle_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "704-236-7133",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN, PHN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "079200312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Marie Pape, FNP-BC
• Jianna Zhao Pappalardo, ACUPUNCTURIST
• Emily E Paquette
• Ashley Paradee
• Paradise Villa Senior Care, LLC
• Paragon Health
• Andres Gavino Parangan III
• Arwin Paras
• Erin Kellam Pardee, P.A.-C
• Victoria Paredes

• Assisted Living Facility in Concord, CA
• Providers in Concord, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.