Provider Demographics
NPI:1407289119
Name:PARADIGM LIVING CONCEPTS, LLC
Entity Type:Organization
Organization Name:PARADIGM LIVING CONCEPTS, LLC
Other - Org Name:PARADIGM HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:NOAH
Authorized Official - Last Name:JARECKI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:317-735-6001
Mailing Address - Street 1:8904 BASH ST STE B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-1286
Mailing Address - Country:US
Mailing Address - Phone:317-735-6001
Mailing Address - Fax:855-450-1177
Practice Address - Street 1:8904 BASH ST STE B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1286
Practice Address - Country:US
Practice Address - Phone:317-735-6001
Practice Address - Fax:855-450-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-16
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based