MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.
NPI 1467654814
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Prescott Valley, AZ
NPI Status: Active since June 05, 2007
Contact Information
HC 76 HWY 89 A N JUNCTION 151
PRESCOTT VALLEY, AZ
ZIP 86312
Phone: (602) 335-2000
- Organization
- Assisted Living Facility
- Assisted Living, Behavioral Disturbances
About MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.
This page provides the complete NPI Profile along with additional information for Mingus Mountain Estate Residencial Center, Inc., a provider established in Prescott Valley, Arizona operating as a Assisted Living Facility, focusing in assisted living, behavioral disturbances . The healthcare provider is registered in the NPI registry with number 1467654814 assigned on June 2007. The practitioner's primary taxonomy code is 3104A0630X with license number BH-1487 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Chris Banken (Executive Director)
- NPI
- 1467654814
- Provider Name
- MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.
- Entity Type
- Organization
- Location Address
- HC 76 HWY 89 A N JUNCTION 151 PRESCOTT VALLEY, AZ 86312
- Location Phone
- (602) 335-2000
- Mailing Address
- PO BOX 26485 PRESCOTT VALLEY, AZ 86312
- Mailing Phone
- (602) 335-2000
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-05-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility Assisted Living, Behavioral Disturbances
- Taxonomy Code
- 3104A0630X
- Type
- Nursing & Custodial Care Facilities
- License No.
- BH-1487
- License State
- AZ
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 497744 | MEDICAID (05) | AZ | |
| 498057 | MEDICAID (05) | AZ | |
| 590118 | MEDICAID (05) | AZ |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 6 | 5 | 4 | 8 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 12 | 5 | 8 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 2 + 5 + 8 + 8 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1467654814 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467654814, enumerated as an "organization" on June 05, 2007.
The provider is located at HC 76 HWY 89 A N JUNCTION 151 PRESCOTT VALLEY, AZ 86312 and the phone number is (602) 335-2000.
Assisted Living Facility with taxonomy code 3104A0630X and a focus in Assisted Living, Behavioral Disturbances.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
