Provider Demographics
NPI:1245829449
Name:PARADIGM SENIOR MANAGEMENT LLC
Entity type:Organization
Organization Name:PARADIGM SENIOR MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-614-7472
Mailing Address - Street 1:230 N CATALPA ST
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MO
Mailing Address - Zip Code:63841-1608
Mailing Address - Country:US
Mailing Address - Phone:573-614-7472
Mailing Address - Fax:833-471-3364
Practice Address - Street 1:230 N CATALPA ST
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MO
Practice Address - Zip Code:63841-1608
Practice Address - Country:US
Practice Address - Phone:573-614-7472
Practice Address - Fax:833-471-3364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility