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WESTSIDE BEHAVIORAL HEALTH LLC
NPI 1043028673
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Kingman, AZ

Active since December 30, 2024
853 PALA MESA DR, KINGMAN, AZ 86409(928) 279-2661 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Westside Behavioral Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTSIDE BEHAVIORAL HEALTH LLC (NPI 1043028673) is a healthcare organization registered as an assisted living, behavioral disturbances in Kingman, Arizona and active in the NPI registry since December 2024. The organization lists Tii Mambilla, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043028673
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameWESTSIDE BEHAVIORAL HEALTH LLC
Location Address853 PALA MESA DRKingman, AZ 86409-3923
Mailing Address853 Pala Mesa DrKingman, AZ 86409-3923 · (928) 279-2661
Phone(928) 279-2661
Organization SubpartNo
Authorized OfficialTii MambillaCeo · (928) 279-2661
Enumeration DateDecember 30, 2024
NPPES CertifiedDecember 29, 2024
✔ NPI 1043028673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
Definition
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.
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
853 PALA MESA DR, Kingman, AZ 86409
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Westside Behavioral Health LLC's NPI number?

The NPI number for Westside Behavioral Health LLC is 1043028673. It was assigned to this organization in the NPPES registry on December 30, 2024.

Where is Westside Behavioral Health LLC located?

Westside Behavioral Health LLC is located at 853 Pala Mesa Dr, Kingman, AZ 86409. The listed phone number is (928) 279-2661.

What is Westside Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Westside Behavioral Health LLC was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.