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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
A Living Room On Broadway | Doing Business As Name - Organization |
Street Address |
4144 E BROADWAY BLVD |
City | TUCSON |
State | AZ |
Zip Code | 85711-3455 |
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 |
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 |
Find all providers in zip 85711 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1457604126 | Tucson Transitional Living LLC | Clinic/Center | 1309 N Venice Ave, Tucson, AZ 85712-3935 | 2012-10-18 |
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 |
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1154940864 | Light House Group Home LLC | Clinic/Center | 108 E 2nd Ave Ste 101, Mesa, AZ 85210-1410 | 2020-04-13 |
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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 |
Find all providers with the same taxonomy |
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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.