Provider Demographics
NPI:1417426438
Name:PARAISO ASSISTED LIVING INC
Entity Type:Organization
Organization Name:PARAISO ASSISTED LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMBOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-748-3320
Mailing Address - Street 1:6174 97TH TER N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-3119
Mailing Address - Country:US
Mailing Address - Phone:727-748-3320
Mailing Address - Fax:727-362-1580
Practice Address - Street 1:6174 97TH TER N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-3119
Practice Address - Country:US
Practice Address - Phone:727-748-3320
Practice Address - Fax:727-362-1580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility