PARADISE ADOLESCENT HOMES, INC.
NPI 1740897784
Residential Treatment Facility, Emotionally Disturbed Children in Suisun City, CA
- Organization
- Residential Treatment Facility, Emotiona...
About PARADISE ADOLESCENT HOMES, INC.
This page provides the complete NPI Profile along with additional information for Paradise Adolescent Homes, Inc., a provider established in Suisun City, California operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1740897784 assigned on September 2020. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Maritza Jefferson-gregory (Executive Director)
- NPI
- 1740897784 Verify this NPI
- Provider Name
- PARADISE ADOLESCENT HOMES, INC.
- Entity Type
- Organization
- Location Address
- 602 WOODLARK DR SUISUN CITY, CA 94585
- Location Phone
- (707) 399-8907
- Mailing Address
- PO BOX 626 SAN RAMON, CA 94583
- Mailing Phone
- (925) 901-0219
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-24-2020
- Last Update Date
- 07-27-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740897784, enumerated as an "organization" on September 24, 2020.
The provider is located at 602 WOODLARK DR SUISUN CITY, CA 94585 and the phone number is (707) 399-8907.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.