A LIVING ROOM ON BROADWAY, PLLC — NPI 1053965376 (Licensed & Credentialed Substance Abuse Rehabilitation Facility in TUCSON, AZ)

CMS-1500 Box 24J / 33a • NPI

1053965376

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

324500000X

Licensed & Credentialed Substance Abuse Rehabilitation Facility

Box 32 Service Location & ZIP+4

4144 E BROADWAY BLVD, TUCSON, AZ, 85711-3455

✓ 9-Digit EDI 837 ZIP+4 (85711-3455)

Practice Phone & Referral Fax

(520) 954-5454

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053965376 (A LIVING ROOM ON BROADWAY, PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053965376` (NPI-2 Organization / Facility)
Provider / Legal Name	A LIVING ROOM ON BROADWAY, PLLC
Plain-English Specialty	Licensed & Credentialed Substance Abuse Rehabilitation Facility NUCC Code: `324500000X` (Substance Abuse Rehabilitation Facility)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4144 E BROADWAY BLVD, TUCSON, AZ, 85711-3455
Practice Telephone / Fax	Tel: (520) 954-5454
Administrative Mailing Address	4144 E BROADWAY BLVD, TUCSON, AZ, 85711-3455
Enumeration & Last Sync	Enumerated: 2019-07-25 \| CMS Record Updated: 2019-10-18
Authorized Official	CYNTHIA MILLER-POTTER (Employee)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4144 E BROADWAY BLVD, TUCSON, AZ, 85711-3455

🗺️ Open in Google Maps 🏥 More Providers in TUCSON

🔒 Are you A LIVING ROOM ON BROADWAY, PLLC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (324500000X)

What Does Taxonomy Code 324500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 324500000X translates to:
"Licensed & Credentialed Substance Abuse Rehabilitation Facility"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Substance Abuse Rehabilitation Facility for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A LIVING ROOM ON BROADWAY, PLLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`324500000X` — Substance Abuse Rehabilitation Facility Plain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

A LIVING ROOM ON BROADWAY, PLLC (NPI #1053965376)