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PARADIGM INC. NPI 1174884399


NPI Information

NPI: 1174884399
Provider Name: PARADIGM, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2058943

Address:
4003 OLD PACTOLUS RD
GREENVILLE, NC
ZIP 27834
Phone: (252) 561-8112
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PARADIGM, INC. is a community behavioral health in Greenville, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PARADIGM, INC. NPI is 1174884399. The provider is registered as an organization entity type.

The provider's business location address is:

4003 OLD PACTOLUS RD
GREENVILLE, NC
ZIP 27834-701
Phone: (252) 561-8112
Fax: (252) 561-7455

The provider's authorized official is Jason Barnett .
The authorized official title is Ceo and has the following contact phone number (252) 714-1230.

The CLIA number assigned to this NPI record is 34D2058943 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2012 and was last updated on 10/13/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2251S00000XCommunity/Behavioral HealthNORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13408149MEDICAIDNORTH CAROLINA

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: 11/14/2023

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