Provider Demographics
NPI:1043038102
Name:PARADIGM HOMCARE INC
Entity type:Organization
Organization Name:PARADIGM HOMCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANUWELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-508-1787
Mailing Address - Street 1:208 WINDY KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-3387
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:208 WINDY KNOLL DR
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-3387
Practice Address - Country:US
Practice Address - Phone:703-233-0444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care