PARADISE LLC NPI 1548593296

NPI Information

NPI: 1548593296
Provider Name: PARADISE LLC
Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address:
10691 E BETHANY DR
UNIT 900
AURORA, CO
ZIP 80014
Phone: (720) 220-1377
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PARADISE LLC is a private vehicle in Aurora, CO. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. PARADISE LLC NPI is 1548593296. The provider is registered as an organization entity type.

The provider's business location address is:

10691 E BETHANY DR
UNIT 900
AURORA, CO
ZIP 80014-643
Phone: (720) 220-1377

The provider's authorized official is Boris Smoroda .
The authorized official title is Manager and has the following contact phone number (720) 220-1377.

The enumeration date for this NPI number is 9/14/2009 and was last updated on 9/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	347C00000X	Private Vehicle				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	96507080	MEDICAID	COLORADO
2	38776561	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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