Provider Demographics
NPI:1255528170
Name:PARADISE HOME HEALTH CARE SERVICES INC
Entity type:Organization
Organization Name:PARADISE HOME HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-506-0471
Mailing Address - Street 1:12509 OXNARD ST STE 212P
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4443
Mailing Address - Country:US
Mailing Address - Phone:818-506-0471
Mailing Address - Fax:818-506-0491
Practice Address - Street 1:12509 OXNARD ST STE 212P
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4443
Practice Address - Country:US
Practice Address - Phone:818-506-0471
Practice Address - Fax:818-506-0491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001637251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058468Medicare Oscar/Certification