Assisted Living At Mountain Vista
Substance Abuse Rehabilitation Facility in Scottsdale, AZ. Organization (NPI-2).
NPI number1053430454
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1053430454
- Entity type
- Organization (NPI-2)
- Legal business name
- Assisted Living At Mountain Vista
- Organization subpart
- No
- Enumeration date
- Mar 28, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | ALH-5146 | AZ | Yes |
| 310400000X | Assisted Living Facility | ALH-5146 | AZ | |
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | ALH-5146 | AZ | |
| 3104A0630X | Assisted Living Facility, Assisted Living, Behavioral Disturbances | ALH-5146 | AZ | |
| 310500000X | Intermediate Care Facility, Mental Illness | ALH-5146 | AZ | |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | ALH-5146 | AZ | |
| 323P00000X | Psychiatric Residential Treatment Facility | ALH-5146 | AZ |
Practice location
12823 N 65th PlScottsdale, AZ 85254-4519
Phone 602-441-2563 · Fax 602-354-7129
Mailing address
6501 E Greenway PkwySuite 103-505
Scottsdale, AZ 85254-2065
Phone 602-441-2563 · Fax 602-354-7129
Authorized official
Beth Glover
Administrative Manager
6024412563
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