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PARADISE LODGE LLC
NPI 1093386450
Substance Abuse Rehabilitation Facility in Maricopa, AZ

Active since July 07, 2021
43858 W LINDGREN DR, MARICOPA, AZ 85138(520) 246-5998(520) 246-5994 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paradise Lodge Llc NPPES

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

PARADISE LODGE LLC (NPI 1093386450) is a healthcare organization registered as a substance abuse rehabilitation facility in Maricopa, Arizona and active in the NPI registry since July 2021. The organization lists Ernest Kwesi Amponsah, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093386450
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePARADISE LODGE LLC
Location Address43858 W LINDGREN DRMaricopa, AZ 85138-5523
Mailing Address43858 W Lindgren DrMaricopa, AZ 85138-5523 · (520) 246-5998 · Fax (520) 246-5994
Phone(520) 246-5998
Fax(520) 246-5994
Organization SubpartNo
Authorized OfficialErnest Kwesi AmponsahAdministrator · (224) 595-0112
Enumeration DateJuly 7, 2021
NPPES CertifiedJuly 7, 2021
✔ NPI 1093386450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
43858 W LINDGREN DR, Maricopa, AZ 85138
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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 Paradise Lodge LLC's NPI number?

The NPI number for Paradise Lodge LLC is 1093386450. It was assigned to this organization in the NPPES registry on July 7, 2021.

Where is Paradise Lodge LLC located?

Paradise Lodge LLC is located at 43858 W Lindgren Dr, Maricopa, AZ 85138. The listed phone number is (520) 246-5998.

What is Paradise Lodge LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Paradise Lodge LLC was last updated on July 7, 2021. 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.