Provider Demographics
NPI:1427224666
Name:AGING PARADISE INC.
Entity Type:Organization
Organization Name:AGING PARADISE INC.
Other - Org Name:AGING PARADISE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEW
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:954-940-8555
Mailing Address - Street 1:1620 WEST OAKLAND PARK BLVD. STE 203
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PAR
Mailing Address - State:FL
Mailing Address - Zip Code:33311
Mailing Address - Country:US
Mailing Address - Phone:954-431-8808
Mailing Address - Fax:954-431-8898
Practice Address - Street 1:1620 WEST OAKLAND PARK BLVD STE 203
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311
Practice Address - Country:US
Practice Address - Phone:954-431-8808
Practice Address - Fax:954-431-8898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health