Paradise Recovery Community Center,LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PARADISE RECOVERY COMMUNITY CENTER,LLC

Practice address

18428 W Miami St Ste 18428
Goodyear, AZ 85338-7490

Phone

(623) 202-9583

Fax

(623) 882-0715

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Kennedy Amughan, N/A

Title

Ceo/Administrator

Phone

(623) 202-9583

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1871294843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18428 W MIAMI ST STE 18428",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387490",
            "telephone_number": "623-202-9583",
            "fax_number": "623-882-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18428 W MIAMI ST STE 18428",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387490",
            "telephone_number": "623-202-9583",
            "fax_number": "623-882-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE RECOVERY COMMUNITY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "AMUGHAN",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "623-202-9583",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Palomino, RN
• Amanda Pancratz
• Prabhakar Pandey, M.D.
• Victor B Papst, PA
• Paradise Abode Behavioral
• Alexa Parker
• John R Parks, DC
• German Alberto Parra Ruiz
• Alexis Quesada Parra
• Ivory Denise Parrott

• Community/Behavioral Health Agency in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.