PARADISE ASSISTED LIVING (NPI# 1205108545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205108545 |
| Entity Type | Organization |
| Organization Name | PARADISE ASSISTED LIVING |
| Practice Address |
6348 Frederick Rd Catonsville MD 21228-2303 |
| Practice Telephone | 4107448434 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |
| Authorized Official Name | GLEN LINDENGREN (PRESIDENT) |
| Authorized Official Telephone | 4107448434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
03AL625-F | MD | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PARADISE ASSISTED LIVING GROUP HOME LLC | 619 Adderton St, Americus, GA 31719-2901 |
| Street Address |
6348 FREDERICK RD |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245565779 | Benu Health Care Services,llc | Assisted Living Facility | 6495 New Hampshire Ave Ste Ll033, Hyattsville, MD 20783-3299 | 2009-10-16 |
| 1356590616 | Bones On Wheels | Assisted Living Facility | 3432 Stonehall Dr, Beltsville, MD 20705-1028 | 2008-09-11 |
| 1760665293 | Edon Healthcare Services, Inc. | Assisted Living Facility | 436 Girard St, 104, Gaithersburg, MD 20877-3303 | 2007-12-06 |
| 1265060693 | New Directions Inc | Assisted Living Facility | 1000 Ingleside Ave, Baltimore, MD 21228-1317 | 2020-03-31 |
| 1285896209 | Mrtllc | Assisted Living Facility | 118 Arundel Beach Rd, Saverna Park, Severna Park, MD 21146-3102 | 2008-07-01 |
| City | CATONSVILLE |
| Zip Code | 21228 |
Please comment or provide details below to improve the information on PARADISE ASSISTED LIVING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.