Provider Demographics
NPI:1346779543
Name:PARADISE ADULT DAY HEALTHCARE LLC
Entity Type:Organization
Organization Name:PARADISE ADULT DAY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VLADISLAV
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLCHEV
Authorized Official - Suffix:
Authorized Official - Credentials:CALA
Authorized Official - Phone:732-595-5315
Mailing Address - Street 1:23 WORLDS FAIR DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1344
Mailing Address - Country:US
Mailing Address - Phone:732-595-5315
Mailing Address - Fax:732-595-5317
Practice Address - Street 1:23 WORLDS FAIR DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1344
Practice Address - Country:US
Practice Address - Phone:732-595-5315
Practice Address - Fax:732-595-5317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care