Paradise Group Home Llc

LBN: Paradise Group Home Llc
Paradise Group Home Llc is an health care organization with primary practice located at 121 Front Street , Risco MO 63874. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Paradise Group Home Llc can be contacted via phone (573) 394-5020, or through Adkisson, Jerrilyn Diane via phone (573) 471-3770.

Contact Information

Primary practice address
121 Front Street Risco MO 63874
Phone: (573) 394-5020
Fax: (573) 394-5022
Website:
Map and Directions
Authorized official contact:
Name: Adkisson, Jerrilyn Diane
Phone: (573) 471-3770

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1497210629
LBN Legal business name Paradise Group Home Llc
DBA Doing business as
Authorized official Adkisson, Jerrilyn Diane
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2019
Last updated Feb 1st, 2019 - about 5 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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