Provider Demographics
NPI:1336638105
Name:PARADISHS INC.
Entity Type:Organization
Organization Name:PARADISHS INC.
Other - Org Name:PARADIS HS HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AUDEANNE
Authorized Official - Middle Name:D
Authorized Official - Last Name:DONALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-317-0685
Mailing Address - Street 1:12773 FOREST HILL BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4761
Mailing Address - Country:US
Mailing Address - Phone:561-317-0685
Mailing Address - Fax:561-557-1009
Practice Address - Street 1:2875 S OCEAN BLVD STE 200-018
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-5590
Practice Address - Country:US
Practice Address - Phone:561-317-0685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994775251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health