PARADISE ADOLESCENT HOMES, INC.
NPI 1740897784
Residential Treatment Facility, Emotionally Disturbed Children in Suisun City, CA

Active since September 24, 2020
602 WOODLARK DR, SUISUN CITY, CA 94585(707) 399-8907 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 27, 2023, Sep 24, 2020 (2 updates tracked since 2020).

  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARITZA JEFFERSON-GREGORY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(925) 570-8498

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Social Worker (Clinical)
602 WOODLARK DR
SUISUN CITY, CA 94585
Rehabilitation Practitioner
602 WOODLARK DR
SUISUN CITY, CA 94585
Marriage & Family Therapist
602 WOODLARK DR
SUISUN CITY, CA 94585
Rehabilitation Practitioner
602 WOODLARK DR
SUISUN CITY, CA 94585
Social Worker (Clinical)
602 WOODLARK DR
SUISUN CITY, CA 94585
Social Worker (Clinical)
602 WOODLARK DR
SUISUN CITY, CA 94585
Case Manager/Care Coordinator
602 WOODLARK DR
SUISUN CITY, CA 94585
Day Training/Habilitation Specialist
602 WOODLARK DR
SUISUN CITY, CA 94585
Rehabilitation Practitioner
602 WOODLARK DR
SUISUN CITY, CA 94585
Rehabilitation Practitioner
602 WOODLARK DR
SUISUN CITY, CA 94585

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.