Provider Demographics
NPI:1275142689
Name:PARA PROFESSIONAL LLC
Entity Type:Organization
Organization Name:PARA PROFESSIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/HUMAN RESOURCES
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIONE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:BA/CNA
Authorized Official - Phone:262-789-2740
Mailing Address - Street 1:200 S. EXECUTIVE DR. SUITE 101
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-4216
Mailing Address - Country:US
Mailing Address - Phone:262-789-2740
Mailing Address - Fax:262-789-6699
Practice Address - Street 1:200 S. EXECUTIVE DR. SUITE 101
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-4216
Practice Address - Country:US
Practice Address - Phone:262-789-2740
Practice Address - Fax:262-789-6699
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARA PROFESSIONAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care