Paramount Recovery Center LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Tempe, AZ. Organization (NPI-2).
NPI number1356050686
StatusActive
Last updated in NPPESJul 11, 2023
Details
- NPI
- 1356050686
- Entity type
- Organization (NPI-2)
- Legal business name
- Paramount Recovery Center LLC
- Organization subpart
- Yes
- Enumeration date
- Nov 15, 2022
- Certification date
- Jul 11, 2023
- Last updated
- Jul 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
2211 S Mill AveTempe, AZ 85282-2115
Phone 928-583-4878
Mailing address
Po Box 4333Prescott, AZ 86302-4333
Phone 928-583-4878
Authorized official
Kevin Ross
Ceo
9179037445
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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