Paradise Bay Care LL

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PARADISE BAY CARE LL

Doing business as

Paradise Bay Care LLC

Practice address

10 Pin Oak Dr Unit 1003
Scarborough, ME 04074-1017

Phone

(202) 981-2415

NPI assigned

Mar 3, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Ignace Rusagara Sr.

Title

Ceo

Phone

(202) 981-2415

Specialties & licenses 1

Addresses

Other names 1

• Paradise Bay Care LLC Doing business as

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1750081295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PIN OAK DR UNIT 1003",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040741017",
            "telephone_number": "202-981-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PIN OAK DR UNIT 1003",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040741017",
            "telephone_number": "202-981-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE BAY CARE LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "RUSAGARA",
        "authorized_official_first_name": "IGNACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-981-2415",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Bay Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Richard Pagliarulo, MS
• Pamela June Pahel, NP
• Nicole Alyse Palminteri, OTD, OTR/L
• Sabrina H Palumbos, PHARM.D.
• Frank Paul Pantina Jr., PHARMD.
• Gregory Thomas Paramantgis, PHARM D
• Jakob Park, MD
• Samantha Louise Ciullo Parlin, LMSW-CC
• Henry Roy Partridge, MSW, PH.D.
• Pathways of Maine, Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.