# PARADISE PROFESSIONAL CARE 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 Professional Care Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538530514
- **Authorized official:** MRS. MARTHA C MOQUETE (ADMONISTRATOR)
- **Authorized official phone:** (702) 929-6316

## Contact information

- **Practice address:** 4760 S PECOS RD STE 103-19, LAS VEGAS, NV 89121-6038
- **Practice address phone:** (702) 929-6316
- **Practice address fax:** (702) 207-1006
- **Mailing address:** 4760 S PECOS RD STE 103-19, LAS VEGAS, NV 89121-6038
- **Mailing address phone:** (702) 929-6316
- **Mailing address fax:** (702) 207-1006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2015
- **Last updated:** 10/15/2015