Paradise Home Care

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

License

0716774 Issued in GU

Legal business name

PARADISE HOME CARE

Practice address

800 S Marine Corp Dr
Ste A2
Tamuning, GU 96913

Phone

(671) 647-4004

Fax

(671) 647-4006

NPI assigned

Jan 30, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian Richard Moylan, RN

Title

Administrator

Phone

(671) 647-4004

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780721019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217787",
            "city": "GMF BARRIGADA",
            "state": "GU",
            "postal_code": "96921",
            "telephone_number": "671-647-4004",
            "fax_number": "671-647-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MARINE CORP DR",
            "address_2": "STE A2",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-647-4004",
            "fax_number": "671-647-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MOYLAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "671-647-4004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "GU",
            "license": "0716774",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GU",
            "license": "706386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Therese Evangelista Palomo
• Archaellus John Dela Vega Pamintuan
• Kathrina May A Pamintuan, PT
• Nilmini Pang, MD
• Patrick James Pang, RPH
• Alexandria Simone Umagat Paragas, DPT
• Scott Miles Parker, D.D.S.
• Camille Morcilla Paulino, BCBA
• Payless Markets Inc (Superdrug Oka)
• Pediatric and Asthma Clinic (Medfirst Physicians Group)

• Nursing Facility Supplies (DME) in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Nursing Facility Supplies (DME) in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.