PARADISE VILLA SENIOR CARE, LLC (NPI# 1396160685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396160685 |
| Entity Type | Organization |
| Organization Name | PARADISE VILLA SENIOR CARE, LLC |
| Practice Address |
836 San Simeon Dr Concord CA 94518-2245 |
| Mailing Address |
Po Box 727 Oakley CA 94561-0727 |
| Practice Telephone | 9254466395 |
| Mailing Telephone | 9254466395 |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |
| Authorized Official Name | LADIA WILKINS (ADMINISTRATOR) |
| Authorized Official Telephone | 9256421226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 079200312 | CA | Nursing & Custodial Care Facilities |
| Street Address |
836 SAN SIMEON DR |
| City | CONCORD |
| State | CA |
| Zip Code | 94518-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649725144 | Paradise Villa Senior Care,llc | Assisted Living Facility | 836 San Simeon Dr, Concord, CA 94518-2245 | 2016-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053736744 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2355 Whitman Rd Ste F, Concord, CA 94518 | 2014-03-04 |
| 1548514888 | Sarah Adler-mcdonald | Nurse Practitioner | 2000 Sierra Rd., Concord, CA 94518 | 2012-11-08 |
| 1750640413 | Advanced Multi Specialty Medical Group | Chiropractor | 4180 Treat Blvd Ste A1, Concord, CA 94518 | 2012-05-15 |
| 1033441928 | Leah Marie Proper | Speech-Language Pathologist | 1050 San Miguel Rd., Concord, CA 94518 | 2010-02-03 |
| 1467689901 | Matthew David Karp | Counselor | 1034 Oak Grove, Concord, CA 94518 | 2009-06-11 |
| 1982856738 | Barbara M Smith | Counselor | 909 Estrella Court, Concord, CA 94518 | 2008-10-10 |
| 1003005521 | Christina Lindemuth | Counselor | 1034 Oak Grove Rd., Concord, CA 94518 | 2007-10-22 |
| 1285836783 | Suzanne Helen Powell | Family Medicine | 2000 Sierra Rd, Concord, CA 94518 | 2007-06-05 |
| 1427183938 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 3737 Barrington Dr, Concord, CA 94518 | 2007-02-23 |
| 1033244108 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 1200 St Elizabeth Ct, Concord, CA 94518 | 2007-02-22 |
| Find all providers in zip 94518 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891266011 | Letitia Trif | Assisted Living Facility | 3647 Wren Ave, Concord, CA 94519-1767 | 2018-12-16 |
| 1245746890 | A Blissful Retreat, LLC | Assisted Living Facility | 4200 Cowell Rd, Concord, CA 94518-1806 | 2017-12-19 |
| 1891149761 | Home Sweet Care Homes, Inc. | Assisted Living Facility | 1584 Dianda Dr, Concord, CA 94521-1951 | 2016-04-18 |
| 1245617620 | Magnolia Guest Home LLC | Assisted Living Facility | 1639 Fairwood Dr, Concord, CA 94521 | 2015-05-05 |
| 1942693049 | Agape Assisted Living Inc | Assisted Living Facility | 1841 Andrea Ln, Concord, CA 94519-1830 | 2015-03-12 |
| 1053718783 | Aj's Senior Care Home | Assisted Living Facility | 3938 Cowell Rd, Concord, CA 94518-1709 | 2014-11-24 |
| 1265747562 | Concord Place | Assisted Living Facility | 2452 Rock Hill Church Rd Nw, Concord, NC 28027-8048 | 2010-08-11 |
| 1811141104 | Twenty Two Pack Management Corp | Assisted Living Facility | 1501 Zion Church Rd E, Concord, NC 28025-6827 | 2008-11-13 |
| 1841316635 | Volunteers of America-concord Park | Assisted Living Facility | 68 Commonwealth Ave, Concord, MA 01742-2967 | 2007-03-22 |
| 1245360940 | Villa Vittoria | Assisted Living Facility | 1191 Vista Ridge Ct, Concord, CA 94518-1739 | 2007-03-06 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on PARADISE VILLA SENIOR CARE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.