Provider Demographics
NPI:1033582580
Name:PARADISE RETIREMENT LLC
Entity Type:Organization
Organization Name:PARADISE RETIREMENT LLC
Other - Org Name:INTERIM HEALTHCARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELA LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-951-0949
Mailing Address - Street 1:1833 KALAKAUA AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1512
Mailing Address - Country:US
Mailing Address - Phone:808-951-0949
Mailing Address - Fax:808-353-3627
Practice Address - Street 1:1833 KALAKAUA AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1512
Practice Address - Country:US
Practice Address - Phone:808-951-0949
Practice Address - Fax:808-353-3627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care