Paradise One Personal Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PARADISE ONE PERSONAL CARE HOME

Practice address

4088 Hodgdon Corners Dr
Lithonia, GA 30038-3760

Phone

(678) 886-0928

NPI assigned

Aug 16, 2021

Organization subpart

No

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

Authorized official

Name

Stephanie Carrington

Title

Owner

Phone

(678) 886-0928

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1780359307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4088 HODGDON CORNERS DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383760",
            "telephone_number": "678-886-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 HODGDON CORNERS DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383760",
            "telephone_number": "678-886-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE ONE PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-886-0928"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muriel Palmer-Colstock, PHARM. D.
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• Christine M. Palomino, RN
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• Assisted Living Facility in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.