Organization · Type 2 NPI
Paradise Group Home LLC
Point of Service · Risco, MO
NPI number
1497210629
Active
Practice location
121 Front Street
Risco, MO 63874
Fax (573) 394-5022
Mailing address
208 N Ingram Rd
Sikeston, MO 63801-5233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | None listed |
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.
About NPI 1497210629
Paradise Group Home LLC's National Provider Identifier is 1497210629, issued on Feb 1, 2019. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Risco, MO. The record was last updated on Feb 1, 2019.