NPIMap

Organization Active NPI

Mingus Mountain Estate Residencial Center, Inc.

Doing business as Casa Grande Academy

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Casa Grande, AZ
National Provider Identifier
1891324711
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.
Doing business as
Casa Grande Academy
Practice address
1120 E 6TH St
Casa Grande, AZ 85122-4206
Phone
(714) 317-6552
NPI assigned
Apr 2, 2020
Last updated
Jun 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Mr. Randy Copas
Title
Regional Executive Director
Phone
(520) 340-4601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

1120 E 6TH St
Casa Grande, AZ 85122-4206

Mailing address

1120 E 6TH St
Casa Grande, AZ 85122-4206
Phone (714) 317-6552

Other names 1

  • Casa Grande Academy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2191710Casa Grande Academy1120 E 6TH Street, Casa Grande, AZ 85122Certificate of waiverAug 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Mingus Mountain Estate Residential Center Inc7 organizations share this tax ID, including this one
Part of
Mingus Mountain Estate Residential Center Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1120 E 6th St
Casa Grande, AZ 85122
Phone (520) 340-4601

15801 E Don Carlos Dr
Prescott Valley, AZ 86315
Phone (602) 335-2068

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1891324711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E 6TH ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224206",
            "telephone_number": "714-317-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E 6TH ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224206",
            "telephone_number": "714-317-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.",
        "enumeration_date": "2020-04-02",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "COPAS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "REGIONAL EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-340-4601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Grande Academy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Casa Grande Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.