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PARADISE LODGE LLC NPI 1952177115


NPI Information

NPI: 1952177115
Provider Name: PARADISE LODGE LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
18860 N MARICOPA RD
MARICOPA, AZ
ZIP 85139
Phone: (122) 459-5011
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PARADISE LODGE LLC is a community behavioral health in Maricopa, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PARADISE LODGE LLC NPI is 1952177115. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18860 N MARICOPA RD
MARICOPA, AZ
ZIP 85139-817
Phone: (122) 459-5011

The provider's authorized official is Ernest K Amponsah .
The authorized official title is Administrator and has the following contact phone number (224) 595-0112.

The enumeration date for this NPI number is 11/29/2023 and was last updated on 11/29/2023.


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
1101YP2500XCounselorProfessionalNo
2251B00000XCase ManagementNo
3261QH0100XClinic/CenterHealth ServiceNo
4261QM0850XClinic/CenterAdult Mental HealthNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
6363LP2300XNurse PractitionerPrimary CareNo
7251S00000XCommunity/Behavioral HealthYes

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

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