Provider Demographics
NPI:1932763471
Name:PARADISE HOME HEALTH LLC
Entity Type:Organization
Organization Name:PARADISE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERESETSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-571-4897
Mailing Address - Street 1:4430 WILDER RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-2529
Mailing Address - Country:US
Mailing Address - Phone:239-571-4897
Mailing Address - Fax:
Practice Address - Street 1:4430 WILDER RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-2529
Practice Address - Country:US
Practice Address - Phone:239-571-4897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health