Healthcare Provider Details

I. General information

NPI: 1679887897
Provider Name (Legal Business Name): PARAGON HEALTH ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2010
Last Update Date: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 CONSERVATORY DR SUITE C
BARBERTON OH
44203-4275
US

IV. Provider business mailing address

1 PARK WEST BLVD SUITE 200
AKRON OH
44320-4218
US

V. Phone/Fax

Practice location:
  • Phone: 330-869-9777
  • Fax: 330-865-6011
Mailing address:
  • Phone: 330-869-9777
  • Fax: 330-865-6011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KIMBERLY A WHITE
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 330-869-9777