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Paradise Lodge Llc
Primary Care Nurse Practitioner in Maricopa, Arizona
NPI 1952177115

Paradise Lodge Llc is a Primary Care Nurse Practitioner based in Maricopa, AZ and is specialized in Primary Care. Paradise Lodge Llc practices in Maricopa, AZ. The NPI Number for Paradise Lodge Llc is 1952177115 and holds a License No. (Arizona).

The current practice location address for Paradise Lodge Llc is 18860 N Maricopa Rd, Maricopa, AZ and can be reached out via phone at 122-459-5011.

Location: 18860 N Maricopa Rd, Maricopa, AZ, 85138-5523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952177115
Provider Name
Paradise Lodge Llc
Credential
Provider Entity Type
Organization
Address
18860 N Maricopa Rd, Maricopa, AZ, 85138-5523
Phone Number
122-459-5011
Fax Number
Provider Enumeration Date
11/29/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
18860 N Maricopa Rd
City
Maricopa
State
Arizona
Zip
85139-1817
Phone Number
122-459-5011
Fax Number
person
Provider Business Mailing Address Details
Address
18860 N Maricopa Rd
City
Maricopa
State
Arizona
Zip
85139-1817
Phone Number
122-459-5011
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
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