Paradise Adolescent Homes, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

PARADISE ADOLESCENT HOMES, INC.

Practice address

136 Valdivia Cir
San Ramon, CA 94583-2228

Phone

(925) 901-0219

Fax

(925) 901-1300

NPI assigned

Sep 22, 2020

Organization subpart

No

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

Authorized official

Name

Maritza Jefferson-Gregory

Title

Executive Director

Phone

(925) 570-8498

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sabrina Shelton

  • Community Health Worker
  • San Ramon, CA
  • NPI 1790451102
  NPD
• Windy Marie Taylor

  • Professional Counselor
  • Walnut Creek, CA
  • NPI 1801482187
  NPD
• Nekia Deneen Stclair, LICSW

  • Clinical Social Worker
  • Bethesda, MD
  • NPI 1144677238
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1902412182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945830626",
            "telephone_number": "925-901-0219",
            "fax_number": "925-901-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 VALDIVIA CIR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832228",
            "telephone_number": "925-901-0219",
            "fax_number": "925-901-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE ADOLESCENT HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON-GREGORY",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-570-8498"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Pan, LAC.
• Chao Hong Pan
• Joleen Pan
• Debbie Pangilinan, NP
• Paradise Adolescent Home
• Parag R. Kachalia, DDS., Inc. (Innovative Dental Concepts)
• Paragon Dental Management LLC
• Ferdinand Lauron Parawan, D.D.S.
• Brandy Paredes
• Parekh Medical Group Inc

• Emotionally Disturbed Childrens' Residential Treatment Facility in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.