PARADISE MANOR (NPI# 1669678082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669678082 |
| Entity Type | Organization |
| Organization Name | PARADISE MANOR |
| Practice Address |
206 E. Lincoln Ave Hatfield PA 19440 |
| Mailing Address |
206 E Lincoln Ave Hatfield PA 19440-2541 |
| Practice Telephone | 2158552697 |
| Mailing Telephone | 2158552697 |
| Mailing Fax Number | 2158552832 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LEOCADIO V CHUA (ADMINISTRATOR) |
| Authorized Official Telephone | 2158552697 |
| Authorized Official Credential | REV. |
| 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 | A40280 | PA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194947762 | Paradise Manor | Respite Care | 206 E Lincoln Ave, Hatfield, PA 19440-2541 | 2007-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PARADISE MANOR | 1101 30th St Nw 4th Fl, Washington, DC 20007-3708 |
| Virginia Business Entities | Paradise Manor LLC | 3318 Semmes Ave, Richmond, Virginia 23225 |
| Street Address |
206 E. LINCOLN AVE |
| City | HATFIELD |
| State | PA |
| Zip Code | 19440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093917445 | Stephanie Pellish | Occupational Therapist | 349 Main Street, Hatfield, PA 19440 | 2007-06-05 |
| 1780895474 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1530 Cowpath Rd, Hatfield, PA 19440 | 2007-05-24 |
| 1700094620 | Lauren A. Mcgrann | Physical Therapist | 549 South Main Street, Hatfield, PA 19440 | 2007-05-21 |
| 1316990542 | Steven Sklar | Family Medicine | Main Street Overbrook Road, Hatfield, PA 19440 | 2006-05-18 |
| 1366559965 | Benjamin T Halton | Dentist | Main & Overbrook Rd, Hatfield, PA 19440-0460 | 2006-08-23 |
| 1063529667 | Sklar Family Dentistry LLC | Dentist | Main & Overbrook Rd, Hatfield, PA 19440-0460 | 2006-08-23 |
| 1043790967 | Karen Diane Weiss | Pediatrics | 733 Church Rd, Hatfield, PA 19440-1010 | 2018-08-20 |
| 1346728706 | William Joseph Discavage IIi | Pharmacist | 1515 Bethlehem Pike # 2445, Hatfield, PA 19440-1301 | 2018-07-29 |
| 1538694591 | Smile Exchange of Hatfield | Clinic/Center | 1565 Bethlehem Pike, Hatfield, PA 19440-1301 | 2017-04-27 |
| 1851312821 | Clemens Market Inc | Pharmacy | 1591 Bethlehem Pike, Hatfield, PA 19440-1301 | 2006-07-22 |
| Find all providers in zip 19440 | ||||
| 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 |
|---|---|---|---|---|
| 1649887514 | Thakker & Amin LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 91 N York Rd Apt 400-09, Willow Grove, PA 19090-2155 | 2020-09-25 |
| 1104463736 | Embolden Community Allies | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4000 Gypsy Ln Unit 204, Philadelphia, PA 19129-5405 | 2019-12-02 |
| 1528605243 | United Care Community Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1201 Overlook Rd Apt 6, Whitehall, PA 18052-6124 | 2019-12-01 |
| 1326684010 | Active Community Support | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3505 W Moreland Rd, Willow Grove, PA 19090-3831 | 2019-11-18 |
| 1851851083 | A Sun Starr Independent Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1673 Suburban Ave, Pittsburgh, PA 15216-3722 | 2019-03-22 |
| 1669953642 | Keystone Community Resources, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 767 State Route 307, Spring Brook Township, PA 18444-6463 | 2018-08-27 |
| 1477031029 | Biacon Family and Community Support Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 205 Pennford Pl, Garnet Valley, PA 19060-2407 | 2018-08-04 |
| 1134623515 | Woods Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 361 South Bellevue Avenue, Langhorne, PA 19047 | 2018-03-21 |
| 1518470624 | Cdig Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1714 Danforth St, Philadelphia, PA 19152-1802 | 2017-11-10 |
| 1619488434 | Creative Dialogues, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 828 Renier Ave, Turtle Creek, PA 15145-1608 | 2017-10-19 |
| 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.