Paradise Manor Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL07303 Issued in FL

Legal business name

PARADISE MANOR RETIREMENT HOME

Practice address

365 NW 43Rd CT
Oakland Park, FL 33309-4731

Phone

(954) 565-7049

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Michael Williams

Title

Administrator

Phone

(954) 565-7049

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sebastian T Thundathil, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
  • NPI 1558378646
  NPD (past)

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1780005108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 NW 43RD CT",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333094731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 NW 43RD CT",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333094731",
            "telephone_number": "954-565-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE MANOR RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-565-7049"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL07303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm-Aire Medical & Rehab Center, Inc.
• Palms Villa Retirement Home, Inc.
• Panacea Biomedical Institute LLC
• Rebekah Paone, LMHC
• Panayotis Papatzimas, DDS
• Partners in Health Care
• Tiffany Michelle Paschal, LCSW
• Eric Michael Paskin, LMT
• Path Medical Center Inc
• Path Medical, LLC

• Assisted Living Facility in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.