Paradise Oasis LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PARADISE OASIS LLC

Practice address

363 W River Rd
Chattahoochee, FL 32324-2316

Phone

(850) 272-8576

NPI assigned

Apr 15, 2020

Last updated

Apr 15, 2020By 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

Deborah Huffman-Douglas

Title

Administrator

Phone

(850) 272-8576

Specialties & licenses 1

Addresses

Tax ID family

Paradise Oasis LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paradise Oasis LLC

  • Assisted Living Facility (Mental Illness)
  • Chattahoochee, FL
  • NPI 1083278675
  NPD tax ID

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1821617283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 LORRAINE AVE",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241908",
            "telephone_number": "850-272-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W RIVER RD",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323242316",
            "telephone_number": "850-272-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE OASIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN-DOUGLAS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-272-8576"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bosede Ibovbohi Ojo, MD, DC
• Mimi Okazaki, PH.D.
• Organization of Bussinessmen
• Lindsay Owings, PH.D.
• Paradise Oasis LLC
• Rasik Patel, M.D.
• Rosalee Jenifer Peckoo, M.D.
• Michael Jon Peel, ARNP
• Gholam Reza Pezeshkian, M.D.
• Boris Phung, M.D.

• Assisted Living Facility in Chattahoochee, FL
• Providers in Chattahoochee, 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 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.