Provider Demographics
NPI:1538806492
Name:PARADIGM RECOVERY, LLC
Entity type:Organization
Organization Name:PARADIGM RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHVEDOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-989-0025
Mailing Address - Street 1:14109 E EXPOSITION AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2523
Mailing Address - Country:US
Mailing Address - Phone:720-989-0025
Mailing Address - Fax:
Practice Address - Street 1:2019 E BIJOU ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5818
Practice Address - Country:US
Practice Address - Phone:720-989-0025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility