Red Mountain Respite, LLC

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

License

CSA05ADHS0158 1 Issued in AZ

Legal business name

RED MOUNTAIN RESPITE, LLC

Practice address

1223 S Clearview Ave Ste 109
Mesa, AZ 85209-3306

Phone

(480) 641-9552

Fax

(480) 981-0893

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Romualdo R Munoz

Title

Chief Administrative Officer

Phone

(480) 641-9552

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Red Mountain Respite 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.

• Red Mountain Respite, LLC

  • Child Mental Illness Respite Care
  • Mesa, AZ
  • NPI 1750485033
  NPD tax ID

Locations

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1184732422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 S CLEARVIEW AVE STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093306",
            "telephone_number": "480-641-9552",
            "fax_number": "480-981-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S CLEARVIEW AVE STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093306",
            "telephone_number": "480-641-9552",
            "fax_number": "480-981-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MOUNTAIN RESPITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ROMUALDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "480-641-9552",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "CSA05ADHS0158 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082134903",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red Mountain Endodontics
• Red Mountain Family Dental, PC
• Red Mountain Family Medicine
• Red Mountain Healthcare LLC (Desert Blossom Health and Rehabilitation Center)
• Red Mountain Midwifery LLC
• Red Mountain Respite, LLC
• Red Mountain Weight Loss Mesa, LLC (Red Mountain Weight Loss)
• Red Rock Addiction and Treatment Company, LLC
• Tashawnna A Reddick
• Reddy Gi Associates (AZ Gastro Care)

• Child Mental Illness Respite Care in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Child Mental Illness Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.