Red Mountain Respite, LLC

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

License

CSA05ADHS0180 Issued in AZ

Legal business name

RED MOUNTAIN RESPITE, LLC

Practice address

1329 S Roseann
Mesa, AZ 85209-3739

Phone

(480) 641-9552

Fax

(480) 981-0893

NPI assigned

Sep 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

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 1184732422
  NPD tax ID

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750485033",
    "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": "1329 S ROSEANN",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093739",
            "telephone_number": "480-641-9552",
            "fax_number": "480-981-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MOUNTAIN RESPITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "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": "CSA05ADHS0180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093862302",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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)
• Reddy Gi Associates

• 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 Aug 22, 2020; 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.