Provider Demographics
NPI:1215552468
Name:ALOHO PARADISE CARE LLC
Entity Type:Organization
Organization Name:ALOHO PARADISE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-629-6247
Mailing Address - Street 1:1809 WESTWIND RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-0304
Mailing Address - Country:US
Mailing Address - Phone:702-629-6247
Mailing Address - Fax:702-629-7659
Practice Address - Street 1:1809 WESTWIND RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-0304
Practice Address - Country:US
Practice Address - Phone:702-629-6247
Practice Address - Fax:702-629-7659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-13
Last Update Date:2020-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility