Organization Active NPI

Ms.Mimi Caring Heart LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Queen Creek, AZ
National Provider Identifier
1316763469
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
MS.MIMI CARING HEART LLC
Doing business as
Ms Mimi Caring Heart, LLC
Practice address
3466 W Sunshine Butte Dr
Queen Creek, AZ 85144-3058
Phone
(602) 616-0039
NPI assigned
Nov 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Mirlande Bonne-Annee
Title
Administrator/Owner
Phone
(917) 647-3500

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
Child Mental Illness Respite Care 385HR2055X

Addresses

Primary practice location

3466 W Sunshine Butte Dr
Queen Creek, AZ 85144-3058

Mailing address

3466 W Sunshine Butte Dr
Queen Creek, AZ 85144-3058
Phone (602) 616-0039

Other names 1

  • Ms Mimi Caring Heart, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1316763469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 W SUNSHINE BUTTE DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851443058",
            "telephone_number": "602-616-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 W SUNSHINE BUTTE DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851443058",
            "telephone_number": "602-616-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS.MIMI CARING HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "BONNE-ANNEE",
        "authorized_official_first_name": "MIRLANDE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "917-647-3500"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ms Mimi Caring Heart, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.