Paradise for Living Services, Inc.
NPI 1063763720ActiveOrganization· Counselor, Professional· Stone Mountain, GA
Counselor, Professional in Stone Mountain, Georgia, registered in NPPES in September 2012. The authorized official on file is Marie E. Sampson, PHD, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063763720 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2012 |
| Last updated in NPPES | Apr 30, 2026 |
| Certified by provider | Apr 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Case Management | 251B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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