NPIMap

Organization Active NPI

Paramount Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Prescott, AZ
National Provider Identifier
1306475751
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PARAMOUNT RECOVERY CENTER LLC
Practice address
637 W Hillside Ave
Prescott, AZ 86301-1909
Phone
(928) 370-3523
Fax
(866) 868-3056
NPI assigned
Apr 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Kevin Ross
Title
Chief Executive Officer
Phone
(917) 903-7445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

637 W Hillside Ave
Prescott, AZ 86301-1909

Mailing address

637 W Hillside Ave
Prescott, AZ 86301-1909
Phone (928) 222-1485

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Treatment Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1306475751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 W HILLSIDE AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011909",
            "telephone_number": "928-222-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 W HILLSIDE AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011909",
            "telephone_number": "928-370-3523",
            "fax_number": "866-868-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "917-903-7445"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.