Provider Demographics
NPI:1043813298
Name:PARAMOUNT HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:PARAMOUNT HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KADEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRADET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-839-5893
Mailing Address - Street 1:17595 S TAMIAMI TRL STE 108
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-4500
Mailing Address - Country:US
Mailing Address - Phone:215-839-5893
Mailing Address - Fax:
Practice Address - Street 1:17595 S TAMIAMI TRL STE 108
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-4500
Practice Address - Country:US
Practice Address - Phone:215-839-5893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health