PARADISE LAKE SENIOR CARE HOME, LLC
NPI 1932508868
Custodial Care Facility - Adult Care Home in Snohomish, WA

Q: What is Paradise Lake Senior Care Home, LLC's NPI number?

The NPI number for Paradise Lake Senior Care Home, LLC is 1932508868. It was assigned to this organization in the NPPES registry on August 15, 2014.

Q: What is Paradise Lake Senior Care Home, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since August 15, 2014

10121 219TH ST SE, SNOHOMISH, WA 98296(425) 761-7739(360) 668-5297 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Paradise Lake Senior Care Home, Llc NPPES

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

PARADISE LAKE SENIOR CARE HOME, LLC (NPI 1932508868) is a healthcare organization registered as an adult care home in Snohomish, Washington and active in the NPI registry since August 2014. The organization lists Theresa Frigillana, Afh Provider, as its authorized official.

NPPES Registry Identity

NPI1932508868

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NamePARADISE LAKE SENIOR CARE HOME, LLC

Location Address10121 219TH ST SESnohomish, WA 98296-4941

Mailing Address10121 219th St SeSnohomish, WA 98296-4941 · (425) 761-7739

Phone(425) 761-7739

Fax(360) 668-5297

Organization SubpartNo

Authorized OfficialTheresa FrigillanaAfh Provider · (425) 761-7739

Enumeration DateAugust 15, 2014

✔ NPI 1932508868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in WA · 751477

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

10121 219TH ST SE, Snohomish, WA 98296

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Other Identifiers 1

Medicaid515305WA

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 Lake Senior Care Home, LLC's NPI number?

The NPI number for Paradise Lake Senior Care Home, LLC is 1932508868. It was assigned to this organization in the NPPES registry on August 15, 2014.

Where is Paradise Lake Senior Care Home, LLC located?

Paradise Lake Senior Care Home, LLC is located at 10121 219th St SE, Snohomish, WA 98296. The listed phone number is (425) 761-7739.

What is Paradise Lake Senior Care Home, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Paradise Lake Senior Care Home, LLC was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.