Provider Demographics
NPI:1467137315
Name:PARADICE SENIOR HOME CARE LLC
Entity Type:Organization
Organization Name:PARADICE SENIOR HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:APPIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-325-9893
Mailing Address - Street 1:14221 ROCKYRUN RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-6265
Mailing Address - Country:US
Mailing Address - Phone:804-325-9893
Mailing Address - Fax:
Practice Address - Street 1:14221 ROCKYRUN RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23838-6265
Practice Address - Country:US
Practice Address - Phone:804-325-9893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health