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

Mingus Mountain Estate Residential Center Inc

Organization Assisted Living Facility (Behavioral Disturbances) · NPI 1497828503

Mingus Mountain Estate Residential Center Inc is an Assisted Living Facility (Behavioral Disturbances) in Prescott Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
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

3801 N Robert Rd
Prescott Valley, AZ 86314-8107
Phone: (602) 335-2095
Fax: (602) 249-1311
Show map & directions

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)

Record details

NPI number1497828503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brooke Wilson — Senior Credentialing Specialist · (602) 335-2000
Other names Emily House
NPI enumeratedNovember 16, 2006
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address2517 N Great Western Dr, Prescott Valley, AZ 86314-2597

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