Organization Active NPI

Paradise Home Health Group, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1760091698
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PARADISE HOME HEALTH GROUP, INC.
Practice address
120 N Victory Blvd Ste 205
Burbank, CA 91502-0001
Phone
(747) 567-5171
NPI assigned
Jul 27, 2020
Organization subpart
Yes
Parent organization
PARADISE HEALTHCARE GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Ruslan Isaev
Title
Ceo
Phone
(747) 567-5171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

120 N Victory Blvd Ste 205
Burbank, CA 91502-0001

Mailing address

120 N Victory Blvd Ste 205
Burbank, CA 91502-0001
Phone (747) 567-5171

National Provider Directory

National Provider Directory

Locations

3224 N San Fernando Blvd
Burbank, CA 91504
Phone (818) 925-7077

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1760091698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N VICTORY BLVD STE 205",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915020001",
            "telephone_number": "747-567-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N VICTORY BLVD STE 205",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915020001",
            "telephone_number": "747-567-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE HOME HEALTH GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARADISE HEALTHCARE GROUP INC",
        "enumeration_date": "2020-07-27",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "ISAEV",
        "authorized_official_first_name": "RUSLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-567-5171"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.