Paradise Abode Behavioral

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PARADISE ABODE BEHAVIORAL

Practice address

15204 W Westview Dr
Goodyear, AZ 85395-8292

Phone

(602) 326-2682

NPI assigned

Feb 9, 2022

Organization subpart

No

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

Authorized official

Name

Kareemat Oshodi, OWNER

Title

Director

Phone

(602) 326-2682

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Paradise Abode Behavioral Doing business as
• Paradise Abode Behavioral LLC Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1972257939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12362 W JOBLANCA RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853233130",
            "telephone_number": "602-326-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15204 W WESTVIEW DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958292",
            "telephone_number": "602-326-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE ABODE BEHAVIORAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "OSHODI",
        "authorized_official_first_name": "KAREEMAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-326-2682",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "12362 W Joblanca Rd",
            "city": "Avondale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853233130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HIE",
            "affiliation": "N",
            "endpointDescription": "Security Resources",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15204 W Westview Dr",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853958292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Paradise Abode Behavioral",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paradise Abode Behavioral LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Martin Palmer, OTR, CHT
• Brenda Palomino, RN
• Amanda Pancratz
• Prabhakar Pandey, M.D.
• Victor B Papst, PA
• Paradise Recovery Community Center,LLC
• Alexa Parker
• John R Parks, DC
• German Alberto Parra Ruiz
• Alexis Quesada Parra

• Mental Illness Community Based Residential Treatment Facility in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.