Provider Demographics
NPI:1508318437
Name:PARADISE CARE CENTER
Entity Type:Organization
Organization Name:PARADISE CARE CENTER
Other - Org Name:ANTHONIA UCH NWADINOBI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANTHONIA
Authorized Official - Middle Name:UCHE
Authorized Official - Last Name:NWADINOBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-250-1067
Mailing Address - Street 1:12322 BRAESRIDGE DERIVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-3003
Mailing Address - Country:US
Mailing Address - Phone:713-497-5375
Mailing Address - Fax:713-497-5375
Practice Address - Street 1:12322 BRAESRIDGE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-3003
Practice Address - Country:US
Practice Address - Phone:713-497-5375
Practice Address - Fax:713-497-5375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities