PARADISE VALLEY – NPI #1912129040
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

PARADISE VALLEY is an assisted living facility located in PHOENIX, AZ. NPPES has assigned the NPI number 1912129040 to PARADISE VALLEY on May 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 VALLEY below.

NPI Profile for
PARADISE VALLEY

NPI Number
1912129040
Enumeration Date

(more than 19 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 VALLEY
Primary location
11645 NORTH 25TH PLACE
PHOENIX, AZ 85028
Phone: (602) 992-0710 Fax: (503) 485-1279
Mailing address
PO BOX 3006
SALEM, OR 97302
Phone: (503) 486-8697 Fax: (503) 485-1279
Organization Subpart
No
Authorized Official
JON HARDER
CEO PRESIDENT
Phone: (503) 485-8697
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
310400000X
- Assisted Living Facility (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.