Organization Active NPI

Milestone Recovery Transitional Living

  • Mental Illness Community Based Residential Treatment Facility
  • Glendale, AZ
National Provider Identifier
1871172536
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MILESTONE RECOVERY TRANSITIONAL LIVING
Practice address
7340 W Bethany Home Rd
Glendale, AZ 85303-4321
Phone
(520) 329-3283
NPI assigned
Apr 7, 2021
Organization subpart
Yes
Parent organization
PLSN CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Wellengten Jenkins
Title
Member-Manager
Phone
(602) 421-6667

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

7340 W Bethany Home Rd
Glendale, AZ 85303-4321

Mailing address

8751 N 51St Ave Ste 108
Glendale, AZ 85302-4943
Phone (602) 421-6667

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@plsnaz.com Direct

National Provider Directory

National Provider Directory
Part of
PLSN Corp

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1871172536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 N 51ST AVE STE 108",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024943",
            "telephone_number": "602-421-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 W BETHANY HOME RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034321",
            "telephone_number": "520-329-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE RECOVERY TRANSITIONAL LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLSN CORP.",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "WELLENGTEN",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "602-421-6667"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@plsnaz.com",
            "affiliation": "N",
            "endpointDescription": "Corporate Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8751 N 51st Ave Ste 108",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853024943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.