Paradise Pointe Residential Care

Primary specialty

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

Legal business name

PARADISE POINTE RESIDENTIAL CARE

Practice address

1041 Cockerill Rd
Sumter, SC 29154-8893

Phone

(803) 481-0181

Fax

(803) 774-0149

NPI assigned

Nov 17, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Bernice Montgomery

Title

Ceo/Administratar

Phone

(803) 481-0181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1750895397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 EDMUNDS DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291547077",
            "telephone_number": "803-774-0147",
            "fax_number": "803-774-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 COCKERILL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291548893",
            "telephone_number": "803-481-0181",
            "fax_number": "803-774-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE POINTE RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "CEO/ADMINISTRATAR",
        "authorized_official_telephone_number": "803-481-0181",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": []
}

• Palmetto Health - University of South Carolina Medical Group
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• Palmetto Orthopaedic and Sports Medicine Center, LLC
• Palmetto Social Work Services LLC
• Paradise Pointe Professional Home Healthcare
• Paragon Outpatient Rehabilitation Services, LLC
• Paramount Transit Services
• Hannah Parker, PA-C
• Israel Jerome Parker V
• Parlez Therapy Services

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sumter, SC
• Providers in Sumter, SC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.