Provider Demographics
NPI:1639799828
Name:PARAMOUNT HOME CARE PROFESSIONALS
Entity Type:Organization
Organization Name:PARAMOUNT HOME CARE PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-441-1019
Mailing Address - Street 1:1656 MONTECITO AVE
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-5136
Mailing Address - Country:US
Mailing Address - Phone:863-441-1019
Mailing Address - Fax:
Practice Address - Street 1:1656 MONTECITO AVE
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-5136
Practice Address - Country:US
Practice Address - Phone:863-441-1019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health