Paragon Village, LLC.

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

60A008 Issued in NJ

Legal business name

PARAGON VILLAGE, LLC.

Practice address

427 US Highway 46 E
Hackettstown, NJ 07840-2683

Phone

(908) 498-0107

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Polachek, C.A.L.A.

Title

Executive Driector

Phone

(908) 498-0102

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1740325877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 US HIGHWAY 46 E",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402683",
            "telephone_number": "908-498-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 US HIGHWAY 46 E",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402683",
            "telephone_number": "908-498-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON VILLAGE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "POLACHEK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EXECUTIVE DRIECTOR",
        "authorized_official_telephone_number": "908-498-0102",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.A.L.A."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "60A008",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NJ",
            "license": "60A008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALR",
            "identifier": "NJ60A008",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029688",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devansh Govind Pandey, DO
• Panther Healthcare Clinic Inc
• Panther Healthcare Enterprises Inc
• Paragon Quality, LLC
• Paragon Senior Living, LLC
• Dhwani Parikh, M.D.
• Jin-Sir Park, D.D.S
• Adwait Babulal Patel
• Charmi Y Patel
• Mausam M Patel, PHARMD, RPH

• Alzheimer Center (Dementia Center) in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Alzheimer Center (Dementia Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.