MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC. – NPI #1891324711
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC. is a residential treatment facility located in CASA GRANDE, AZ. NPPES has assigned the NPI number 1891324711 to MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC. on April 02, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was last updated on Jun 06, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC. below.

NPI Profile for
MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.

NPI Number
1891324711
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.
Primary location
1120 E 6TH ST
CASA GRANDE, AZ 85122-4206
Phone: (714) 317-6552 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC. is subpart of another organization.
Authorized Official
RANDY COPAS
REGIONAL EXECUTIVE DIRECTOR
Phone: (520) 340-4601
Updated
Certification Date
Jun 06, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.