HIDDEN PARADOX, LLC


Address: 4144 E Broadway Blvd, Tucson, AZ 85711-3455
Phone: 5209545454

HIDDEN PARADOX, LLC (NPI# 1902449077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902449077
Entity Type Organization
Organization Name HIDDEN PARADOX, LLC
Practice Address 4144 E Broadway Blvd
Tucson
AZ 85711-3455
Practice Telephone 5209545454
Mailing Telephone 5209545454
Enumeration Date 2019-10-22
Last Update Date 2019-10-22
Authorized Official Name CYNTHIA MILLER-POTTER (CEO)
Authorized Official Telephone 5209545454
Authorized Official Credential MA,LASAC,CCTP,AD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
A Living Room On Broadway Doing Business As Name - Organization

Office Location

Street Address 4144 E BROADWAY BLVD
City TUCSON
State AZ
Zip Code 85711-3455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841705043 Cynthia Miller Potter Counselor 4144 E Broadway Blvd, Tucson, AZ 85711-3455 2017-12-10
1053965376 A Living Room On Broadway, Pllc Substance Abuse Rehabilitation Facility 4144 E Broadway Blvd, Tucson, AZ 85711-3455 2019-07-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356959951 Ridgeline Practice Counselor 4625 N Broadway, Suite 105, Tucson, AZ 85711 2020-07-20
1881229946 Famiglia Amore II LLC Assisted Living Facility 632 N. Wilmot, Tucson, AZ 85711 2020-03-10
1992343362 Laurie Anne Mcmahon Family Medicine 899 N. Wilmot, Building B, Tucson, AZ 85711 2019-12-17
1063060093 Sharese Ann Bailey Counselor 300 S Craycroft Rd, Tucson, AZ 85711 2019-09-03
1467940015 Jin Zhang Ophthalmology 655 N Alvernon Way Ste 204, Tucson, AZ 85711 2018-04-30
1447779525 Catherine Butler Hobart Pharmacist 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 2017-09-11
1689196420 Cope Community Services, Inc. Case Management 924 N Alvernon Way, Tucson, AZ 85711 2017-07-13
1124561477 Regina Maendler Behavioral Analyst 630 N. Craycroft Rd, Tucson, AZ 85711 2016-11-18
1881140184 Elleda Linsmeyer Speech-Language Pathologist St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 2016-08-28
1962856260 Csl-tucson, LLC Assisted Living Facility 1020 N. Woodland Avenue, Tucson, AZ 85711 2016-04-22
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1922034685 Valley Hope Association Clinic/Center 3275 W Ina Rd, Suite 135, Tucson, AZ 85741-2328 2006-06-24
1235657461 Arizona Rehab Campus, LLC Clinic/Center 6944 E Tanque Verde Rd, Tucson, AZ 85715 2017-09-08
1457802274 Rincon Recovery, LLC Clinic/Center 5956 E Pima St, Ste 140, Tucson, AZ 85712-4375 2016-10-17
1083968549 The Haven's Outpatient Clinic Clinic/Center 2601 N Campbell Ave, Suite 110, Tucson, AZ 85719-3163 2012-11-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538787023 Irma Behavioral Home LLC Clinic/Center 7034 W Irma Ln, Glendale, AZ 85308-9459 2020-07-10
1962022806 Illuminate Recovery LLC Clinic/Center 10619 N Hayden Rd Ste A-108, Scottsdale, AZ 85260-8529 2020-04-21
1154940864 Light House Group Home LLC Clinic/Center 108 E 2nd Ave Ste 101, Mesa, AZ 85210-1410 2020-04-13
1871128520 Summit Bhc Mesa LLC Clinic/Center 860 N Center St Bldg 1-3, Mesa, AZ 85201-4201 2020-03-03
1861025876 Summit Bhc Mesa LLC Clinic/Center 846 North Center Street Suite 101, Mesa, AZ 85201 2020-02-18
1386284982 Succeeding At Recovery LLC Clinic/Center 10702 W Peoria Ave, Sun City, AZ 85351-4062 2020-01-10
1538706775 Soberman's Estate LLC Clinic/Center 5035 E Barwick Dr, Cave Creek, AZ 85331-5981 2019-12-06
1659918266 Peace & Ease LLC Clinic/Center 14362 N Frank Lloyd Wright Blvd Ste B103, Scottsdale, AZ 85260-8881 2019-12-02
1124662788 Jh Medical Services LLC Clinic/Center 4635 W Mcdowell Rd Ste 110, Phoenix, AZ 85035-4149 2019-11-06
1609429315 Blueprints Therapeutic Services LLC Clinic/Center 114 S Virginia St, Prescott, AZ 86303-3803 2019-07-22
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Competitor

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City TUCSON
Zip Code 85711

Improve Information

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Dataset Information

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.

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