PARADISE FACILITY NPI 1215757901

NPI Information

  • NPI: 1215757901
  • Provider Name: PARADISE FACILITY
  • Classification: Clinic/Center - 261QP0905X
  • Specialization: Public Health, State or Local
  • Entity Type: Organization
  • Address: 30431 TIN MINE ST
    HOMELAND, CA
    ZIP 92548
  • Phone: (951) 462-3014

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NPI Details

PARADISE FACILITY is a public health and state or local clinic center in Homeland, CA. PARADISE FACILITY NPI is 1215757901. The provider is registered as an organization entity type.

The provider's business location address is:

30431 TIN MINE ST
HOMELAND, CA
ZIP 92548-283
Phone: (951) 462-3014

The provider's authorized official is Dreona Manuel .
The authorized official title is Director and has the following contact phone number (951) 462-3014.

The enumeration date for this NPI number is 10/16/2024 and was last updated on 9/11/2025.

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
1261QP0905XClinic/CenterPublic Health, State or LocalYes

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

NPI Synchronization or Removal

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