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PARADISE HILLS BOARD AND CARE
NPI 1104608470
Assisted Living Facility in San Diego, CA

Active since October 19, 2023
1580 ANTOINE DR, SAN DIEGO, CA 92139(619) 838-4658 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paradise Hills Board And Care NPPES

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

PARADISE HILLS BOARD AND CARE (NPI 1104608470) is a healthcare organization registered as an assisted living facility in San Diego, California and active in the NPI registry since October 2023. The organization lists Masho Woldegerima, Owner/caregiver, as its authorized official.

NPPES Registry Identity

NPI1104608470
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePARADISE HILLS BOARD AND CARE
Location Address1580 ANTOINE DRSan Diego, CA 92139-3948
Mailing Address1580 Antoine DrSan Diego, CA 92139-3948
Phone(619) 838-4658
Organization SubpartNo
Authorized OfficialMasho WoldegerimaOwner/caregiver · (619) 519-2591
Enumeration DateOctober 19, 2023
NPPES CertifiedOctober 19, 2023
✔ NPI 1104608470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1580 ANTOINE DR, San Diego, CA 92139
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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 Hills Board And Care's NPI number?

The NPI number for Paradise Hills Board And Care is 1104608470. It was assigned to this organization in the NPPES registry on October 19, 2023.

Where is Paradise Hills Board And Care located?

Paradise Hills Board And Care is located at 1580 Antoine Dr, San Diego, CA 92139. The listed phone number is (619) 838-4658.

What is Paradise Hills Board And Care's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Paradise Hills Board And Care was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.