Provider Demographics
NPI:1912318825
Name:PARAMOUNT HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:PARAMOUNT HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYTA
Authorized Official - Middle Name:ATAWA
Authorized Official - Last Name:DZINEKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-728-1266
Mailing Address - Street 1:4 COURTHOUSE LN
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1728
Mailing Address - Country:US
Mailing Address - Phone:978-728-1266
Mailing Address - Fax:
Practice Address - Street 1:4 COURTHOUSE LN
Practice Address - Street 2:SUITE B
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1728
Practice Address - Country:US
Practice Address - Phone:978-728-1266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAR03215251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health