Provider Demographics
NPI:1003428830
Name:PARAGON HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:PARAGON HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERLINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-676-2001
Mailing Address - Street 1:254 SPEARHEAD RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-9044
Mailing Address - Country:US
Mailing Address - Phone:478-676-2001
Mailing Address - Fax:478-676-2232
Practice Address - Street 1:254 SPEARHEAD RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-9044
Practice Address - Country:US
Practice Address - Phone:478-697-0830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-21
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1003428830OtherMEDICARE