Provider Demographics
NPI:1760091698
Name:PARADISE HOME HEALTH GROUP, INC.
Entity type:Organization
Organization Name:PARADISE HOME HEALTH GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUSLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ISAEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-567-5171
Mailing Address - Street 1:120 N VICTORY BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-0001
Mailing Address - Country:US
Mailing Address - Phone:747-567-5171
Mailing Address - Fax:
Practice Address - Street 1:120 N VICTORY BLVD STE 205
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-0001
Practice Address - Country:US
Practice Address - Phone:747-567-5171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARADISE HEALTHCARE GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-27
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health