MINGUS MOUNTAIN ACADEMY
NPI 1982069522
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Phoenix, AZ

Active since December 28, 2015
34218 N 26TH AVE, PHOENIX, AZ 85085(602) 335-2000 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mingus Mountain Academy NPPES

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

MINGUS MOUNTAIN ACADEMY (NPI 1982069522) is a healthcare organization registered as an assisted living, behavioral disturbances in Phoenix, Arizona and active in the NPI registry since December 2015. The organization lists Vince Moser, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1982069522
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameMINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC.
Location Address34218 N 26TH AVEPhoenix, AZ 85085-5008
Mailing AddressPo Box 26485Prescott Valley, AZ 86312-6485
Organization SubpartNo
Authorized OfficialVince MoserExecutive Director · (602) 335-2000
Enumeration DateDecember 28, 2015
NPI 1982069522 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
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.
34218 N 26TH AVE, Phoenix, AZ 85085

Other Names 1

Doing Business AsMingus Mountain Academy

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 1982069522. It was assigned to this organization in the NPPES registry on December 28, 2015. The provider is doing business as Mingus Mountain Academy.

Where is Mingus Mountain Estate Residential Center Inc. located?

Mingus Mountain Estate Residential Center Inc. is located at 34218 N 26th Ave, Phoenix, AZ 85085. The listed phone number is (602) 335-2000.

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.

When was this NPI record last updated?

The NPPES record for Mingus Mountain Estate Residential Center Inc. was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.