PARADISE GROUP HOME LLC
NPI 1497210629
Point of Service in Risco, MO

Q: What is Paradise Group Home LLC's NPI number?

The NPI number for Paradise Group Home LLC is 1497210629. It was assigned to this organization in the NPPES registry on February 1, 2019.

Q: What is Paradise Group Home LLC's specialty?

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

Active since February 01, 2019

121 FRONT STREET, RISCO, MO 63874(573) 394-5020(573) 394-5022 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Paradise Group Home Llc NPPES

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

PARADISE GROUP HOME LLC (NPI 1497210629) is a healthcare organization registered as a point of service in Risco, Missouri and active in the NPI registry since February 2019. The organization lists Jerrilyn Diane Adkisson, Owner, as its authorized official.

NPPES Registry Identity

NPI1497210629

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NamePARADISE GROUP HOME LLC

Location Address121 FRONT STREETRisco, MO 63874

Mailing Address208 N Ingram RdSikeston, MO 63801-5233 · (573) 471-3770

Phone(573) 394-5020

Fax(573) 394-5022

Organization SubpartNo

Authorized OfficialJerrilyn Diane AdkissonOwner · (573) 471-3770

Enumeration DateFebruary 1, 2019

✔ NPI 1497210629 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.

121 FRONT STREET, Risco, MO 63874

Open in Google Maps ↗

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 Group Home LLC's NPI number?

The NPI number for Paradise Group Home LLC is 1497210629. It was assigned to this organization in the NPPES registry on February 1, 2019.

Where is Paradise Group Home LLC located?

Paradise Group Home LLC is located at 121 Front Street, Risco, MO 63874. The listed phone number is (573) 394-5020.

What is Paradise Group Home LLC'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 Paradise Group Home LLC was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.