Provider Demographics
NPI:1003402819
Name:PARADISE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:PARADISE HOME HEALTH CARE, LLC
Other - Org Name:PARADISE HOME HEALTH AND ADULT DAY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHANDRA
Authorized Official - Middle Name:PRASAD
Authorized Official - Last Name:BHANDARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-474-2807
Mailing Address - Street 1:355 PORTAGE TRL STE 2
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-3254
Mailing Address - Country:US
Mailing Address - Phone:330-474-2807
Mailing Address - Fax:330-236-3625
Practice Address - Street 1:355 PORTAGE TRL STE 2
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-3254
Practice Address - Country:US
Practice Address - Phone:330-474-2807
Practice Address - Fax:330-236-3625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-15
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0452322Medicaid