Provider Demographics
NPI:1598939100
Name:PARADISE HOME HEALTH AGENCY & JOB EMPLOYMENT SERVICES, INC.
Entity Type:Organization
Organization Name:PARADISE HOME HEALTH AGENCY & JOB EMPLOYMENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:AMANDA
Authorized Official - Last Name:STUBBLEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-266-4316
Mailing Address - Street 1:333 MARCUS GARVEY BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-1016
Mailing Address - Country:US
Mailing Address - Phone:718-574-1036
Mailing Address - Fax:
Practice Address - Street 1:333 MARCUS GARVEY BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-1016
Practice Address - Country:US
Practice Address - Phone:718-574-1036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health