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MONUMENT RECOVERY SERVICES LLC
NPI 1093563538
Substance Abuse Rehabilitation Facility in Mesa, AZ

Active since May 09, 2024
748 W 6TH DR, MESA, AZ 85210(480) 299-5780(480) 613-5931 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Monument Recovery Services Llc NPPES

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

MONUMENT RECOVERY SERVICES LLC (NPI 1093563538) is a healthcare organization registered as a substance abuse rehabilitation facility in Mesa, Arizona and active in the NPI registry since May 2024. The organization lists John Philip Ketron, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093563538
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMONUMENT RECOVERY SERVICES LLC
Location Address748 W 6TH DRMesa, AZ 85210-2320
Mailing Address748 W 6th DrMesa, AZ 85210-2320 · (480) 299-5780 · Fax (480) 613-5931
Phone(480) 299-5780
Fax(480) 613-5931
Organization SubpartNo
Authorized OfficialJohn Philip KetronCeo · (480) 299-5780
Enumeration DateMay 9, 2024
NPPES CertifiedMay 9, 2024
✔ NPI 1093563538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
748 W 6TH DR, Mesa, AZ 85210
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2308363

Monument Recovery Services LLC · Mesa, AZ
Expired · Jul 24, 2026
CLIA Number03D2308363
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
Laboratory DirectorWilliam Craig Heise
Laboratory Phone(480) 299-5780
Laboratory LocationMonument Recovery Services LLC748 W 6th Dr, Mesa, AZ 85210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2308361

Monument Recovery Services LLC · Mesa, AZ
Expired · Jul 24, 2026
CLIA Number03D2308361
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
Laboratory DirectorWilliam Craig Heise
Laboratory Phone(480) 299-5780
Laboratory LocationMonument Recovery Services LLC560 W Brown Rd Ste 2001, Mesa, AZ 85201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Monument Recovery Services LLC's NPI number?

The NPI number for Monument Recovery Services LLC is 1093563538. It was assigned to this organization in the NPPES registry on May 9, 2024.

Where is Monument Recovery Services LLC located?

Monument Recovery Services LLC is located at 748 W 6th Dr, Mesa, AZ 85210. The listed phone number is (480) 299-5780.

What is Monument Recovery Services LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Monument Recovery Services LLC was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.