Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mingus Mountain Estate Residencial Center, Inc

Organization Assisted Living Facility (Behavioral Disturbances) · NPI 1467654814

Mingus Mountain Estate Residencial Center, Inc is an Assisted Living Facility (Behavioral Disturbances) in Prescott Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

Hc 76 Hwy 89 A N Junction 151
Prescott Valley, AZ 86312-6485
Phone: (602) 335-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X · Licence BH-1487 (AZ)
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X · Licence BH-312 (AZ)

Record details

NPI number1467654814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chris Banken — Executive Director · (602) 335-2000
NPI enumeratedJune 5, 2007
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 26485, Prescott Valley, AZ 86312-6485

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