Active NPI
Monument Recovery Services LLC
- Substance Abuse Rehabilitation Facility
- Mesa, AZ
National Provider Identifier
1124717517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- MONUMENT RECOVERY SERVICES LLC
- Practice address
- 560 W Brown Rd Ste 2001
Mesa, AZ 85201-3229 - Phone
- (480) 331-3367
- Fax
- (480) 613-5931
- NPI assigned
- May 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Ketron
- Title
- Founder and Ceo
- Phone
- (480) 299-5780
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
560 W Brown Rd Ste 2001
Mesa, AZ 85201-3229
Mailing address
560 W Brown Rd Ste 2001
Mesa, AZ 85201-3229
Phone (480) 331-3367
Other practice location 1
864 W Southern Ave
Mesa, AZ 85210-4900
Phone (480) 590-1799
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2308361 | Monument Recovery Services LLC | Certificate of waiver | Jul 24, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Monument Recovery Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Mesa, AZ
- NPI 1093563538
Locations
864 W Southern Ave
Mesa, AZ 85210
Phone (480) 590-1799
560 W Brown Rd
Ste 2001
Mesa, AZ 85201
Phone (480) 331-3367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762387200000",
"number": "1124717517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 W BROWN RD STE 2001",
"city": "MESA",
"state": "AZ",
"postal_code": "852013229",
"telephone_number": "480-331-3367",
"fax_number": "480-613-5931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W BROWN RD STE 2001",
"city": "MESA",
"state": "AZ",
"postal_code": "852013229",
"telephone_number": "480-331-3367",
"fax_number": "480-613-5931"
}
],
"practiceLocations": [
{
"address_1": "864 W Southern Ave",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852104900",
"country_code": "US",
"telephone_number": "480-590-1799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MONUMENT RECOVERY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-02",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A",
"authorized_official_last_name": "KETRON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "FOUNDER AND CEO",
"authorized_official_telephone_number": "480-299-5780"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.