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NPI Code Detail

MEDICARE: PARAISO ATTENDANT SERVICES, LLC

MEDICARE: PARAISO ATTENDANT SERVICES, LLC
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
1225100000XPhysical Therapist
2251S00000XCommunity/Behavioral Health Agency
3225X00000XOccupational Therapist
4251E00000XHome Health Agency
5385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
6385H00000XRespite Care
7385HR2055XChild Mental Illness Respite Care
8253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1912501321
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARAISO ATTENDANT SERVICES, LLC
Provider Business Mailing Address
First Line : 2550 W UNION HILLS DR STE 350
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-5187
Country : US
Telephone Number : 915-247-6129
Fax Number : 915-642-0045
Provider Business Practice Location Address
First Line : 3301 AIRPORT FWY STE 340A
Second Line :
City : BEDFORD
State : TX
Zip : 76021-6032
Country : US
Telephone Number : 915-247-6129
Fax Number : 915-642-0045
Authorized Official
Title or Position : CEO
Name : REGANALD MACKEY
Credential :
Telephone Number : 575-694-3723
Provider Enumeration Date : 11/25/2020
Last Update Date : 05/08/2026

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Directions to “PARAISO ATTENDANT SERVICES, LLC ” Practice Location

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