Organization Active NPI

Paragon Hospice Agency LLC

  • Community Based Hospice Care Agency
  • Fort Wayne, IN
National Provider Identifier
1720840937
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PARAGON HOSPICE AGENCY LLC
Practice address
2420 N Coliseum Blvd Ste 201B
Fort Wayne, IN 46805-3139
Phone
(260) 493-6050
Fax
(260) 492-7771
NPI assigned
Jan 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Sameera Shafiq, RN
Title
Manager
Phone
(734) 301-5646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2420 N Coliseum Blvd Ste 201B
Fort Wayne, IN 46805-3139

Mailing address

2420 N Coliseum Blvd Ste 201B
Fort Wayne, IN 46805-3139
Phone (260) 493-6050

National Provider Directory

National Provider Directory

Locations

2420 N Coliseum Blvd
Ste 201B
Fort Wayne, IN 46805
Phone (260) 493-6050

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1720840937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 N COLISEUM BLVD STE 201B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053139",
            "telephone_number": "260-493-6050",
            "fax_number": "260-492-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 N COLISEUM BLVD STE 201B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053139",
            "telephone_number": "260-493-6050",
            "fax_number": "260-492-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON HOSPICE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "SHAFIQ",
        "authorized_official_first_name": "SAMEERA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-301-5646",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.