NPI Information

  • NPI: 1497387708
  • Provider Name: PARADISE RESIDENTIAL SERVICES LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 6 STEPHANIE DR
    GORHAM, ME
    ZIP 04038
  • Phone: (207) 636-0009

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NPI Details

PARADISE RESIDENTIAL SERVICES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Gorham, ME. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PARADISE RESIDENTIAL SERVICES LLC NPI is 1497387708. The provider is registered as an organization entity type.

The provider's business location address is:

6 STEPHANIE DR
GORHAM, ME
ZIP 04038-394
Phone: (207) 636-0009

The provider's authorized official is Jocelyne Ininahazwe .
The authorized official title is Chief Executive Manager and has the following contact phone number (207) 636-0009.

The enumeration date for this NPI number is 2/5/2020 and was last updated on 9/14/2021.

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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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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