Paramount Recovery Services, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

BL04112 Issued in AZ

Legal business name

PARAMOUNT RECOVERY SERVICES, LLC

Practice address

602 Bonita Way
Prescott, AZ 86301-1002

Phone

(928) 583-3409

NPI assigned

Nov 28, 2017

Organization subpart

No

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

Authorized official

Name

Dominique Clark

Title

Billing

Phone

(928) 460-0593

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1578077632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4353",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863024353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BONITA WAY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011002",
            "telephone_number": "928-583-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "928-460-0593"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BL04112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "BL04112",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arabinda Kahna Pani, M.D.
• Candice Panton, NP
• Paradise Care Homes LLC
• Paramount Recovery Center LLC
• Paramount Recovery Center LLC
• Roberto A Paredes, NP
• Hayley Susanne Park, MT-BC
• Kathleen F Parker
• Elizabeth Anne Parknowitz
• Larry W Parsons

• Substance Abuse Rehabilitation Facility in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.