PARAGON WELLNESS CENTER LLC NPI 1811720204

NPI Information

  • NPI: 1811720204
  • Provider Name: PARAGON WELLNESS CENTER, LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Other Name: PARAGON WELLNESS CENTER, LLC
  • Address: 3396 MILLER ST
    PHILADELPHIA, PA
    ZIP 19134
  • Phone: (215) 792-6040

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NPI Details

PARAGON WELLNESS CENTER, LLC is a rehabilitation and substance use disorder clinic center in Philadelphia, PA. PARAGON WELLNESS CENTER, LLC NPI is 1811720204. The provider is registered as an organization entity type.
The provider Other Name Is Paragon Wellness Center, Llc.

The provider's business location address is:

3396 MILLER ST
PHILADELPHIA, PA
ZIP 19134-325
Phone: (215) 792-6040

The provider's authorized official is Kimberly A Pakech .
The authorized official title is Ceo and has the following contact phone number (215) 370-4325.

The enumeration date for this NPI number is 8/22/2024 and was last updated on 8/22/2024.

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
1261Q00000XClinic/CenterNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes
4324500000XSubstance Abuse Rehabilitation FacilityNo

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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