Provider Demographics
NPI:1780270454
Name:PARADISE OF JOY HOMECARE LLC
Entity type:Organization
Organization Name:PARADISE OF JOY HOMECARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VENTRISHA
Authorized Official - Middle Name:LINETT
Authorized Official - Last Name:MOLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-397-0380
Mailing Address - Street 1:PO BOX 144
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:GA
Mailing Address - Zip Code:39828-0144
Mailing Address - Country:US
Mailing Address - Phone:229-397-0380
Mailing Address - Fax:229-397-0381
Practice Address - Street 1:1212 HYW 84 WEST
Practice Address - Street 2:1212 HYW 84 WEST
Practice Address - City:CAIRO GA
Practice Address - State:GA
Practice Address - Zip Code:39828
Practice Address - Country:US
Practice Address - Phone:122-397-0380
Practice Address - Fax:229-397-0381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty