Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mingus Mountain Estate Residencial Center, Inc.

Assisted Living Facility (Behavioral Disturbances) in Prescott Valley, AZ · enumerated 2007 · authorized official Chris Banken, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467654814

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Registry record

Entity type Organization (Type 2)

Legal business name Mingus Mountain Estate Residencial Center, Inc.

Practice address Hc 76 Hwy 89 A N Junction 151, Prescott Valley, AZ, 86312

Phone (602) 335-2000

Enumeration date Jun 5, 2007

Last updated in NPPES Sep 11, 2025

Taxonomy & classification

3104A0630X Assisted Living Facility (Behavioral Disturbances) Nursing & Custodial Care Facilities · License BH-1487 (AZ) Primary

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License BH-312 (AZ) Secondary

Authorized official

Name Chris Banken

Title Executive Director

Phone (602) 335-2000

Other identifiers

Identifier	Type	State	Issuer
590118	Medicaid	AZ	-
497744	Medicaid	AZ	-
498057	Medicaid	AZ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Mingus Mountain Estate Residencial Center, Inc.?

Mingus Mountain Estate Residencial Center, Inc. is registered in NPPES as a Assisted Living Facility (Behavioral Disturbances) (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.