Active NPI
Milestone Recovery Transitional Living
- Mental Illness Community Based Residential Treatment Facility
- Glendale, AZ
National Provider Identifier
1871172536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.