Provider Demographics
NPI:1235769928
Name:PARADISE MEDICAL SUPPLIES, LLC.
Entity Type:Organization
Organization Name:PARADISE MEDICAL SUPPLIES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SABRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-369-1921
Mailing Address - Street 1:10600 W ALAMEDA AVE STE 108A
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-2601
Mailing Address - Country:US
Mailing Address - Phone:720-369-1921
Mailing Address - Fax:
Practice Address - Street 1:10600 W ALAMEDA AVE STE 108A
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-2601
Practice Address - Country:US
Practice Address - Phone:720-276-0902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies