WESTSIDE BEHAVIORAL HEALTH LLC NPI 1043028673

NPI Information

  • NPI: 1043028673
  • Provider Name: WESTSIDE BEHAVIORAL HEALTH LLC
  • Classification: Assisted Living Facility - 3104A0630X
  • Specialization: Assisted Living, Behavioral Disturbances
  • Entity Type: Organization
  • Address: 853 PALA MESA DR
    KINGMAN, AZ
    ZIP 86409
  • Phone: (928) 279-2661

Map and Directions

Get Directions

NPI Details

WESTSIDE BEHAVIORAL HEALTH LLC is an assisted living and behavioral disturbances assisted living facility in Kingman, 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. WESTSIDE BEHAVIORAL HEALTH LLC NPI is 1043028673. The provider is registered as an organization entity type.

The provider's business location address is:

853 PALA MESA DR
KINGMAN, AZ
ZIP 86409-923
Phone: (928) 279-2661

The provider's authorized official is Tii Mambilla .
The authorized official title is Ceo and has the following contact phone number (928) 279-2661.

The enumeration date for this NPI number is 12/30/2024 and was last updated on 12/30/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityNo
23104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesYes
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI