PARADISE GROUP HOME LLC – NPI #1497210629
Point of Service

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

PARADISE GROUP HOME LLC is a managed care organization located in RISCO, MO. NPPES has assigned the NPI number 1497210629 to PARADISE GROUP HOME LLC on February 01, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 305S00000X from the Health Care Provider Taxonomy code set, which is classified as Point of Service.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PARADISE GROUP HOME LLC below.

NPI Profile for
PARADISE GROUP HOME LLC

NPI Number
1497210629
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PARADISE GROUP HOME LLC
Primary location
121 FRONT STREET
RISCO, MO 63874
Phone: (573) 394-5020 Fax: (573) 394-5022
Mailing address
208 N INGRAM RD
SIKESTON, MO 63801-5233
Phone: (573) 471-3770 Fax:
Organization Subpart
No
Authorized Official
JERRILYN ADKISSON
OWNER
Phone: (573) 471-3770
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
305S00000X
- Point of Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.