Absolute Care LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

ABSOLUTE CARE LLC

Practice address

3842 E Irwin Ave
Mesa, AZ 85206-3852

Phone

(602) 394-2689

NPI assigned

Jul 16, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Randy Mallari, OMD, MSN, BA, RNNPI 1306198429

Title

Clinical Director - CNL

Phone

(602) 888-2468

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Ark of Angel Behavioral Home Doing business as

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randy V. Mallari, PMHNP-BC/C, FNP-BC/C

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1306198429

  Psychiatry

  NPD (past) Authorized official
• Emmanuel Mena, BHT

  • Behavior Technician
  • Mesa, AZ
  • NPI 1225704273
  NPD

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1689246795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3842 E IRWIN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3842 E IRWIN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063852",
            "telephone_number": "602-394-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "MALLARI",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR - CNL",
        "authorized_official_telephone_number": "602-888-2468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OMD, MSN, BA, RN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "BH6716",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://arkbh.plutio.com/files",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "3842 E Irwin Ave",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852063852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ark of Angel Behavioral Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manuel Abrante, M.D.
• Monica Abrante, M.D.
• Kaitlin Larissa Abravaya, LAC
• Luzmary Abreu Lemus
• Ashley A Absmeier-Koppenhafer, PT
• Absolute Sleep Medical
• Anas Husni Mohamad Abu Assi, MBBS
• Nidal Abukhalil, PA-S
• Abundant Hearts Homecare LLC
• Rami Abusaleh, MD

• All providers in Mesa, AZ
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.