# PARADISE VALLEY HEALTH CARE CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** PARADISE VALLEY HEALTH CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275513293
- **Authorized official:** JOHN MITCHELL (SECRETARY)
- **Authorized official phone:** (385) 988-3319

## Contact information

- **Practice address:** 2575 E 8TH ST, NATIONAL CITY, CA 91950-2913
- **Practice address phone:** (619) 470-6700
- **Practice address fax:** (619) 470-0404
- **Mailing address:** 262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 090000141 | CA | Yes |

## Other

- **Enumeration date:** 01/17/2006
- **Last updated:** 08/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 090000141 | CDPH FACILITY LICENSE NUMBER | CA |
| 05 | — | LTC06388G | — | CA |