PARADISE RESIDENTIAL SERVICES LLC (NPI# 1497387708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497387708 |
Entity Type | Organization |
Organization Name | PARADISE RESIDENTIAL SERVICES LLC |
Practice Address |
6 Stephanie Dr Gorham ME 04038-1394 |
Practice Telephone | 2076360009 |
Mailing Telephone | 2076360009 |
Enumeration Date | 2020-02-05 |
Last Update Date | 2020-02-05 |
Authorized Official Name | JOCELYNE ININAHAZWE (CHIEF EXECUTIVE MANAGER) |
Authorized Official Telephone | 2076360009 |
Authorized Official Credential | MA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
6 STEPHANIE DR |
City | GORHAM |
State | ME |
Zip Code | 04038-1394 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134749039 | Lindsey Anne Thomsen | Physician Assistant | 15 Caitlin Drive, Gorham, ME 04038 | 2020-04-21 |
1124537600 | Helping Hearts Home Care | Home Health | 46 Farrington Rd, Gorham, ME 04038 | 2017-09-27 |
1689109019 | Deborah Ann Cooper | In Home Supportive Care | 46 Farrington Road, Gorham, ME 04038 | 2017-04-24 |
1184056400 | Katherine Pritchard | Speech-Language Pathologist | 1002 Wagner Farm Road, Gorham, ME 04038 | 2013-08-09 |
1043565013 | Jennifer Brooke Turcotte | Social Worker | 697b Gray Rd, Gorham, ME 04038 | 2012-07-17 |
1326356296 | Gail Trefethern-kelley | Occupational Therapist | 75 School Street, Suite 2, Gorham, ME 04038 | 2010-09-14 |
1396963245 | Jaime Marie Tardif | Social Worker | 72 Justice Way, Gorham, ME 04038 | 2007-04-23 |
1033234224 | Marie A Pedersen | Social Worker | 39 Finn Parker Road, Gorham, ME 04038 | 2007-03-20 |
1205971330 | Victor Liberi | Specialist/Technologist | 33 College Ave., University of So. Maine, Gorham, ME 04038 | 2007-02-20 |
1467595322 | Susanne Martornao | Occupational Therapist | 14 Murray Drive, Gorham, ME 04038 | 2007-02-14 |
Find all providers in zip 04038 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073090098 | Bridge Support Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 264 County Rd, Gorham, ME 04038-1913 | 2018-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033088 | Palms Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1500 Forest Ave Apt 13d, Portland, ME 04103-1846 | 2020-11-06 |
1588264378 | Amahoro LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 59 Starboard Dr, Cape Elizabeth, ME 04107-9647 | 2020-10-29 |
1194340646 | Veritas Care of Maine Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 570 Brighton Ave Ste 2, Portland, ME 04102-2355 | 2020-06-10 |
1679104673 | Dynamic Alternative Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 171 Brook St, Sanford, ME 04073-2505 | 2020-01-29 |
1811528920 | Alternative Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14 Joes Rd, Windham, ME 04062-4515 | 2020-01-28 |
1790321578 | Supportive Partnerships | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Fellows St, Portland, ME 04103-2414 | 2019-11-26 |
1437792199 | Atlantic Community Support LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 75 Bishop St Ste 13, Portland, ME 04103-2614 | 2019-10-24 |
1396390811 | Golden Group Home Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 40 Bernard Rd, Portland, ME 04103-3611 | 2019-08-02 |
1588217897 | Blue Star Homecare LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23 Myrtle St Apt 102, Biddeford, ME 04005-3578 | 2019-07-17 |
1689233512 | Mercy Care Residential (mcr( | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 95 Park St Ste 519, Lewiston, ME 04240-7282 | 2019-06-13 |
Find all providers with the same taxonomy |
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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.