Healthcare Provider Details

I. General information

NPI: 1215339437
Provider Name (Legal Business Name): PARAMOUNT HOME HEALTH CARE &HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2014
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11838 BERNARDO PLAZA COURT SUITE 260 A & B
SAN DIEGO CA
92128-2434
US

IV. Provider business mailing address

11838 BERNARDO PLAZA COURT SUITE 260 A & B
SAN DIEGO CA
92128-2434
US

V. Phone/Fax

Practice location:
  • Phone: 858-487-8778
  • Fax:
Mailing address:
  • Phone: 858-487-8778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL CONNELLY
Title or Position: MANAGING MEMBER
Credential:
Phone: 714-818-2980