Rancho Bella LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RANCHO BELLA LLC

Practice address

21609 N 12TH Ave Ste 600
Phoenix, AZ 85027-2850

Phone

(602) 622-7731

NPI assigned

Mar 21, 2023

Organization subpart

No

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

Authorized official

Name

Jack Reigelsperger

Title

Owner

Phone

(602) 622-7731

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Cho Long Elizabeth Kim, NMD, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1467680165
  NPD (past)

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1972205987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21609 N 12TH AVE STE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272850",
            "telephone_number": "602-622-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21609 N 12TH AVE STE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272850",
            "telephone_number": "602-622-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO BELLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-10-30",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "REIGELSPERGER",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-622-7731"
    },
    "taxonomies": [
        {
            "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": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris A Ramsook, M.D.
• David Allen Ramstad, PSY.D.
• Giuseppe Francesco Ramunno, M.D.
• Rolando Rances, RESPIRATORY THERAPIS
• Rancho Bella Foundation
• Alberta Marie Rand, RN, CDE
• Richard Joseph Rand III, D.P.M.
• Ashley J. Randall, AU.D.
• Daniel Randall, CRNA
• Edward Wade Randall, DC

• Adult Mental Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.