Paradise Health Care Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PARADISE HEALTH CARE SERVICES, LLC

Practice address

2246 Bellaire Dr
Florence, SC 29505-6304

Phone

(910) 331-2785

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Regenia Fulmore

Title

Owner

Phone

(843) 319-8858

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1801422605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 BELLAIRE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056304",
            "telephone_number": "910-331-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 BELLAIRE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056304",
            "telephone_number": "910-331-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "FULMORE",
        "authorized_official_first_name": "REGENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-319-8858"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amit V. Pande, M.D.
• Meenakshi A Pande, MD
• Paula Blanco Pando, CRNA
• Delana K Pankey, LPC-A
• Davinderbir S Pannu, MD
• Paragon Outpatient Rehabilitation Services, LLC
• Latarsha Parham
• Ravi Parikh, M.D.
• Jan Parish, MED,CCC-SLP
• Laceye Ann Parker, PHARMD

• In Home Supportive Care Agency in Florence, SC
• Providers in Florence, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.