A Living Room on Broadway, PLLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

A LIVING ROOM ON BROADWAY, PLLC

Practice address

4144 E Broadway Blvd
Tucson, AZ 85711-3455

Phone

(520) 954-5454

NPI assigned

Jul 25, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cynthia Miller-Potter, MA, LASAC, CCTP, ADC

Title

Employee

Phone

(520) 954-5454

Specialties & licenses 1

Addresses

Other names 1

• A Living Room On Broadway Doing business as

Tax ID family

A Living Room on Broadway PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• A Living Room on Broadway, PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Tucson, AZ
  • NPI 1326776873
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• A Living Room on Broadway, PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Tucson, AZ
  • NPI 1326776873
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1053965376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113455",
            "telephone_number": "520-954-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113455",
            "telephone_number": "520-954-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LIVING ROOM ON BROADWAY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "MILLER-POTTER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "520-954-5454",
        "authorized_official_credential": "MA, LASAC, CCTP, ADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Living Room On Broadway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• A Taste of Health, LLC

• All providers in Tucson, AZ
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.