PARADISE CARE HOMES LLC NPI 1013008259

NPI Information

  • NPI: 1013008259
  • Provider Name: PARADISE CARE HOMES LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: PARADISE 1 AT PRESCOTT
  • Address: 1812 WILLOW CREEK RD
    PRESCOTT, AZ
    ZIP 86301
  • Phone: (928) 541-1514

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NPI Details

PARADISE CARE HOMES LLC is an assisted living facility in Prescott, AZ. The provider is 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. PARADISE CARE HOMES LLC NPI is 1013008259. The provider is registered as an organization entity type.
The provider Is Doing Business As Paradise 1 At Prescott.

The provider's business location address is:

1812 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301-157
Phone: (928) 541-1514
Fax: (928) 541-1514

The provider's authorized official is Brian Reed .
The authorized official title is Ceo and has the following contact phone number (928) 541-1514.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityALH-4989ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1123293OTHERARIZONAAHCCCS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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