Paradise Adolescent Home

LBN: Paradise Adolescent Home
Paradise Adolescent Home is an health care organization with primary practice located at 136 Valdivia Cir , San Ramon CA 94583-2228. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Paradise Adolescent Home can be contacted via phone (925) 901-0219, or through Edwards, Antwanette via phone (407) 462-5593.

Contact Information

Primary practice address
136 Valdivia Cir San Ramon CA 94583-2228
Phone: (925) 901-0219
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Antwanette
Phone: (407) 462-5593

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1437725900
LBN Legal business name Paradise Adolescent Home
DBA Doing business as
Authorized official Edwards, Antwanette
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2021
Last updated Nov 8th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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