MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC
NPI 1497828503
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Prescott Valley, AZ

Q: What is Mingus Mountain Estate Residential Center Inc's specialty?

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

Active since November 16, 2006

3801 N ROBERT RD, PRESCOTT VALLEY, AZ 86314(602) 335-2095(602) 249-1311 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mingus Mountain Estate Residential Center Inc NPPES

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

MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC (NPI 1497828503) is a healthcare organization registered as an assisted living, behavioral disturbances in Prescott Valley, Arizona and active in the NPI registry since November 2006. The organization lists Brooke Wilson, Senior Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1497828503

Entity TypeOrganization

Primary Taxonomy3104A0630X

Legal Business NameMINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC

Location Address3801 N ROBERT RDPrescott Valley, AZ 86314-8107

Mailing Address2517 N Great Western DrPrescott Valley, AZ 86314-2597 · (602) 335-2000 · Fax (480) 534-7494

Phone(602) 335-2095

Fax(602) 249-1311

Organization SubpartNo

Authorized OfficialBrooke WilsonSenior Credentialing Specialist · (602) 335-2000

Enumeration DateNovember 16, 2006

Last NPPES UpdateMarch 10, 2025

NPPES CertifiedMarch 10, 2025

✔ NPI 1497828503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

License✔ Licensed in AZ · BH-1487

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.

3801 N ROBERT RD, Prescott Valley, AZ 86314

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Other Names 1

Other NameEmily House

Other Identifiers 1

Medicaid498057AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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 Mingus Mountain Estate Residential Center Inc's NPI number?

The NPI number for Mingus Mountain Estate Residential Center Inc is 1497828503. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is also known as Emily House.

Where is Mingus Mountain Estate Residential Center Inc located?

Mingus Mountain Estate Residential Center Inc is located at 3801 N Robert Rd, Prescott Valley, AZ 86314. The listed phone number is (602) 335-2095.

What is Mingus Mountain Estate Residential Center Inc's specialty?

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

What insurance does Mingus Mountain Estate Residential Center Inc accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Mingus Mountain Estate Residential Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mingus Mountain Estate Residential Center Inc was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.