Provider Demographics
NPI:1487885356
Name:PARADISE HEALTHCARE SERVICES
Entity type:Organization
Organization Name:PARADISE HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLLIVIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-360-6619
Mailing Address - Street 1:10240 SW 56TH ST
Mailing Address - Street 2:SUITE 112C
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7071
Mailing Address - Country:US
Mailing Address - Phone:786-360-6619
Mailing Address - Fax:866-462-9542
Practice Address - Street 1:18-38 ENIGHED
Practice Address - Street 2:BUILDING ONE
Practice Address - City:CRUZ BAY
Practice Address - State:VI
Practice Address - Zip Code:00831
Practice Address - Country:US
Practice Address - Phone:786-360-6619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care