MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER INC. NPI 1467654814

NPI Information

MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC. is an assisted living and behavioral disturbances assisted living facility in Prescott Valley, 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 RESIDENCIAL CENTER, INC. NPI is 1467654814. The provider is registered as an organization entity type.

The provider's business location address is:

HC 76 HWY 89 A N JUNCTION 151
PRESCOTT VALLEY, AZ
ZIP 86312-485
Phone: (602) 335-2000

The provider's authorized official is Chris Banken .
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 6/5/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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.