MOUNTAIN VIEW RESIDENTIAL LLC NPI 1235775305

NPI Information

NPI: 1235775305
Provider Name: MOUNTAIN VIEW RESIDENTIAL, LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
111 S HEARTHSTONE WAY
CHANDLER, AZ
ZIP 85226
Phone: (510) 240-0250
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MOUNTAIN VIEW RESIDENTIAL, LLC is a community based residential treatment facility mental illness in Chandler, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MOUNTAIN VIEW RESIDENTIAL, LLC NPI is 1235775305. The provider is registered as an organization entity type.

The provider's business location address is:

111 S HEARTHSTONE WAY
CHANDLER, AZ
ZIP 85226-010
Phone: (510) 240-0250

The provider's authorized official is Michael Gray .
The authorized official title is Member and has the following contact phone number (510) 240-0250.

The enumeration date for this NPI number is 11/22/2019 and was last updated on 11/22/2019.

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
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

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: 11/14/2023

NPI Synchronization or Removal

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