Provider Demographics
NPI:1164082665
Name:PARAGON HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:PARAGON HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CELESTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONONIWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-740-4482
Mailing Address - Street 1:2023 ROSEBURY LN
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-0919
Mailing Address - Country:US
Mailing Address - Phone:469-740-4482
Mailing Address - Fax:972-357-7017
Practice Address - Street 1:2023 ROSEBURY LN
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-0919
Practice Address - Country:US
Practice Address - Phone:469-740-4482
Practice Address - Fax:972-357-7017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty