Healthcare Provider Details

I. General information

NPI: 1528293818
Provider Name (Legal Business Name): PARADIGM HEALTHCARE CENTER OF NORWALK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2009
Last Update Date: 05/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 PROSPECT AVE
NORWALK CT
06850-3705
US

IV. Provider business mailing address

23 PROSPECT AVE
NORWALK CT
06850-3705
US

V. Phone/Fax

Practice location:
  • Phone: 203-853-0010
  • Fax: 203-855-1548
Mailing address:
  • Phone: 203-853-0010
  • Fax: 203-855-1548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT L ZISKIN
Title or Position: MEMBER/VICE PRESIDENT
Credential:
Phone: 860-729-6268