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PARADISE HOMES
NPI 1063620565
Point of Service in Advance, MO

Active since May 18, 2007
24777 STATE HWY 25, ADVANCE, MO 63730(573) 722-5200(573) 722-5200 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paradise Homes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARADISE HOMES (NPI 1063620565) is a healthcare organization registered as a point of service in Advance, Missouri and active in the NPI registry since May 2007. The organization lists Jerrilyn Diane Adkisson, Owner, as its authorized official.

NPPES Registry Identity

NPI1063620565
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameJERRILYN D ADKISSON
Location Address24777 STATE HWY 25Advance, MO 63730
Mailing Address24777 State Hwy 25Advance, MO 63730 · (573) 722-5200 · Fax (573) 722-5200
Phone(573) 722-5200
Fax(573) 722-5200
Organization SubpartNo
Authorized OfficialJerrilyn Diane AdkissonOwner · (573) 722-5200
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063620565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
24777 STATE HWY 25, Advance, MO 63730
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Other Names 1

Other NameParadise Homes

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrilyn D Adkisson's NPI number?

The NPI number for Jerrilyn D Adkisson is 1063620565. It was assigned to this organization in the NPPES registry on May 18, 2007. The provider is also known as Paradise Homes.

Where is Jerrilyn D Adkisson located?

Jerrilyn D Adkisson is located at 24777 State Hwy 25, Advance, MO 63730. The listed phone number is (573) 722-5200.

What is Jerrilyn D Adkisson's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Jerrilyn D Adkisson was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.