PARAMOUNT RECOVERY SERVICES, LLC (NPI# 1578077632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578077632 |
| Entity Type | Organization |
| Organization Name | PARAMOUNT RECOVERY SERVICES, LLC |
| Practice Address |
602 Bonita Way Prescott AZ 86301-1002 |
| Mailing Address |
Po Box 4353 Prescott AZ 86302-4353 |
| Practice Telephone | 9285833409 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Authorized Official Name | DOMINIQUE CLARK (BILLING) |
| Authorized Official Telephone | 9284600593 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | BL04112 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE LICENSE | BL04112 | 01 |
| Street Address |
602 BONITA WAY |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963839 | Summit Behavioral Health of Az, LLC | Substance Abuse Rehabilitation Facility | 1989 Willow Lake Rd Unit 100-105, Prescott, AZ 86301-4885 | 2020-05-07 |
| 1104464544 | Prescott Recovery Services LLC | Substance Abuse Rehabilitation Facility | 805 White Spar Rd, Prescott, AZ 86303-4636 | 2019-12-17 |
| 1073903472 | Chapter 5 Counseling Center, LLC | Substance Abuse Rehabilitation Facility | 707 W Gurley St, Prescott, AZ 86305-3621 | 2015-01-23 |
| 1346630746 | Chapter 5 Counseling Center, LLC | Substance Abuse Rehabilitation Facility | 818 W Gurley St, Prescott, AZ 86305-3624 | 2015-01-23 |
| 1619392297 | Carleton Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 135 Brush St., Prescott, AZ 86301 | 2014-02-19 |
| 1861817447 | Carleton Recovery Centers | Substance Abuse Rehabilitation Facility | 1118 Willow Creek Rd, Prescott, AZ 86301 | 2014-02-19 |
| 1477808095 | Decision Point, LLC | Substance Abuse Rehabilitation Facility | 621 Campbell St, Prescott, AZ 86301-2522 | 2012-07-19 |
| 1295080810 | Decision Point Center, Inc | Substance Abuse Rehabilitation Facility | 623 Campbell St, Prescott, AZ 86301-2522 | 2012-07-19 |
| 1750636379 | Decision Point Center, LLC | Substance Abuse Rehabilitation Facility | 625 Campbell St, Prescott, AZ 86301-7526 | 2012-07-19 |
| 1396000584 | Decision Point Center, LLC | Substance Abuse Rehabilitation Facility | 615 Campbell St, Prescott, AZ 86301-7500 | 2012-07-12 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.