Organization Active NPI

Monument Recovery Services LLC

  • Substance Abuse Rehabilitation Facility
  • Mesa, AZ
National Provider Identifier
1124717517
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Nov 6, 2025

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)CodeLicenseStatePrimary
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2308361Monument Recovery Services LLC560 W Brown Rd Ste 2001, Mesa, AZ 85201Certificate of waiverJul 24, 2026

National Provider Directory

National Provider Directory
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.

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.

Verify at the official NPI Registry.