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MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC. NPI 1982069522


NPI Information

NPI: 1982069522
Provider Name: MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC.

Doing Business As: MINGUS MOUNTAIN ACADEMY

Classification: Assisted Living Facility - 3104A0630X
Entity Type: Organization

Specialization: Assisted Living, Behavioral Disturbances

Address:
34218 N 26TH AVE
PHOENIX, AZ
ZIP 85085
Phone: (602) 335-2000
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MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC. is an assisted living and behavioral disturbances assisted living facility in Phoenix, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC. NPI is 1982069522. The provider is registered as an organization entity type.
The provider Is Doing Business As Mingus Mountain Academy.

The provider's business location address is:

34218 N 26TH AVE
PHOENIX, AZ
ZIP 85085-008
Phone: (602) 335-2000

The provider's authorized official is Vince Moser .
The authorized official title is Executive Director and has the following contact phone number (602) 335-2000.

The enumeration date for this NPI number is 12/28/2015 and was last updated on 12/28/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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