Provider Demographics
NPI:1053544643
Name:PARADISE HOME HEALTH, INC.
Entity type:Organization
Organization Name:PARADISE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FAKHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-483-3333
Mailing Address - Street 1:15565 NORTHLAND DR E
Mailing Address - Street 2:SUITE 503E
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5363
Mailing Address - Country:US
Mailing Address - Phone:248-483-3333
Mailing Address - Fax:248-483-3334
Practice Address - Street 1:15565 NORTHLAND DR E
Practice Address - Street 2:SUITE 503E
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5363
Practice Address - Country:US
Practice Address - Phone:248-483-3333
Practice Address - Fax:248-483-3334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-28
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health