Provider Demographics
NPI:1568745693
Name:A COMMUNITY OF PARADIGMS, INC.
Entity Type:Organization
Organization Name:A COMMUNITY OF PARADIGMS, INC.
Other - Org Name:PARADIGM HOUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TROYANOS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MAC, CSAC
Authorized Official - Phone:757-685-7077
Mailing Address - Street 1:2476 NIMMO PARKWAY
Mailing Address - Street 2:SUITE 115-512
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456
Mailing Address - Country:US
Mailing Address - Phone:757-685-7077
Mailing Address - Fax:757-430-6222
Practice Address - Street 1:5600 HAMPSHIRE LANE
Practice Address - Street 2:101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462
Practice Address - Country:US
Practice Address - Phone:757-685-7077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home