OrganizationActive
Mingus Mountain Estate Residential Center Inc
NPI 1114090925 · Assisted Living Facility (Behavioral Disturbances) · Dewey, AZ
Provider details
- NPI number
- 1114090925
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Brooke Wilson, Senior Credentialing Specialists(602) 335-2000
- License
- BH-1122 (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Dewey Road
Farrington Home
Dewey, AZ 86327
Phone: (602) 335-2095
Fax: (602) 249-1311
Street-level locationGet directions
Mailing address
2517 N Great Western Dr
Prescott Valley, AZ 86314-2597
Other names (DBA / former)
- Other name
- Farrington House
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2025-03-10
- Certified
- 2025-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.