Emily House

LBN: Mingus Mountain Estate Residential Center, Inc.
Emily House is an health care organization with primary practice located at 3801 N Robert Rd , Prescott Valley AZ 86314-8107. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, which is considered as the primary health care specialty. Mingus Mountain Estate Residential Center, Inc. can be contacted via phone (602) 335-2095, or through Banken, Chris via phone (602) 335-2095.

Contact Information

Primary practice address
3801 N Robert Rd Prescott Valley AZ 86314-8107
Phone: (602) 335-2095
Fax: (602) 249-1311
Website:
Map and Directions
Authorized official contact:
Name: Banken, Chris
Phone: (602) 335-2095

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X BH-1487 Arizona

Profile Details

NPI number 1497828503
LBN Legal business name Mingus Mountain Estate Residential Center, Inc.
DBA Doing business as Emily House
Authorized official Banken, Chris
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 3rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497828503 NPPES
Arizona MEDICAID 498057

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