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Organization
PARADIGM LIVING CONCEPTS, LLC
Active
Organization
PARADIGM LIVING CONCEPTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY NOAH JARECKI MBA/ HFA (PRESIDENT & CEO)
(317) 735-6001
Entity
Organization
Contact information
Practice address
8904 BASH ST STE B, INDIANAPOLIS, IN 46256-1286
(317) 735-6001
Mailing address
8904 BASH ST STE B, INDIANAPOLIS, IN 46256-1286
(317) 735-6001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
163WC0400X
Case Management Registered Nurse
—
NULL
163WC0400X
Case Management Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
NULL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
NULL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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