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NPI Code Detail

MEDICARE: PARADISE HEALTHCARE, INC

MEDICARE: PARADISE HEALTHCARE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency033-R-0090GA

General Provider Information

NPI Number : 1386781995
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARADISE HEALTHCARE, INC
Provider Business Mailing Address
First Line : 2810 SPRING RD SE STE 112
Second Line :
City : ATLANTA
State : GA
Zip : 30339-3066
Country : US
Telephone Number : 770-434-1900
Fax Number : 770-434-1992
Provider Business Practice Location Address
First Line : 2810 SPRING RD SE STE 112
Second Line :
City : ATLANTA
State : GA
Zip : 30339-3066
Country : US
Telephone Number : 770-434-1900
Fax Number : 770-434-1992
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. TONY EHIMEN
Credential :
Telephone Number : 770-434-1900
Provider Enumeration Date : 01/31/2007
Last Update Date : 08/22/2020

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Directions to “PARADISE HEALTHCARE, INC ” Practice Location

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