Provider Demographics
NPI:1700679693
Name:ASHLEY'S PINK PARADISE
Entity type:Organization
Organization Name:ASHLEY'S PINK PARADISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-915-2616
Mailing Address - Street 1:10226 SHAWNEE BLF
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-2335
Mailing Address - Country:US
Mailing Address - Phone:210-915-2616
Mailing Address - Fax:800-489-8055
Practice Address - Street 1:10226 SHAWNEE BLF
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-2335
Practice Address - Country:US
Practice Address - Phone:210-915-2616
Practice Address - Fax:800-489-8055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility