Monument Recovery Services LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MONUMENT RECOVERY SERVICES LLC

Practice address

748 W 6TH Dr
Mesa, AZ 85210-2320

Phone

(480) 299-5780

Fax

(480) 613-5931

NPI assigned

May 9, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Philip Ketron

Title

Ceo

Phone

(480) 299-5780

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Monument Recovery Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Monument Recovery Services LLC

  • Substance Abuse Rehabilitation Facility
  • Mesa, AZ
  • NPI 1124717517
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1093563538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 W 6TH DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102320",
            "telephone_number": "480-299-5780",
            "fax_number": "480-613-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 W 6TH DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102320",
            "telephone_number": "480-299-5780",
            "fax_number": "480-613-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "KETRON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-299-5780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delilah A Montoya, MS, LAC
• Josina Montoya, RN, BSN
• Keysha Montoya, PHARMD
• Justine P Montplaisir
• Monty Owen Physical Therapy, LLC
• Monument Recovery Services LLC
• Allie Moody
• Anna Moody
• Frances Patricia Moody
• Christopher Moon

• Substance Abuse Rehabilitation Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.