Provider Demographics
NPI:1225176142
Name:PARAGON MANAGEMENT, INC.
Entity Type:Organization
Organization Name:PARAGON MANAGEMENT, INC.
Other - Org Name:PARADISE EDUCATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHRADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-546-7215
Mailing Address - Street 1:15533 W PARADISE LN
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-5851
Mailing Address - Country:US
Mailing Address - Phone:623-975-2646
Mailing Address - Fax:623-975-2841
Practice Address - Street 1:15533 W PARADISE LN
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-5851
Practice Address - Country:US
Practice Address - Phone:623-975-2646
Practice Address - Fax:623-975-2841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ854267Medicaid