National Provider Identifier Database

PARADISE LODGE LLC
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


Contact Information

PARADISE LODGE LLC
18860 N MARICOPA RD
MARICOPA, AZ85139-1817
Phone: 122-459-5011
Fax:
Website:
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X
Adult Mental Health 261QM0850X
Case Management 251B00000X
Health Service 261QH0100X
Primary Care 363LP2300X
Professional 101YP2500X
Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for PARADISE LODGE LLC

NPI Number 1952177115
Legal business name
LBN
PARADISE LODGE LLC
Authorized official ERNEST AMPONSAH - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 11/29/2023
Last updated 11/29/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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