Mount Zion, Inc. Dba the Manse

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

374601115 Issued in CA

Legal business name

MOUNT ZION, INC. DBA THE MANSE

Practice address

2354 Watson Way
Vista, CA 92081-7925

Phone

(760) 727-1221

Fax

(760) 727-8886

NPI assigned

Dec 10, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Alicia Sanchez

Title

Admistrator

Phone

(760) 727-1221

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1053719831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 WATSON WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817925",
            "telephone_number": "760-727-1221",
            "fax_number": "760-727-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 WATSON WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817925",
            "telephone_number": "760-727-1221",
            "fax_number": "760-727-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ZION, INC. DBA THE MANSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "ADMISTRATOR",
        "authorized_official_telephone_number": "760-727-1221",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "CA",
            "license": "374601115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING WAIVER PROGRAM",
            "identifier": "311Z00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Mortenson
• Vickie Linda Moskowitz, AU.D.
• Willie Ray Mosley
• Judith K Moss
• Kelly Christine Motadel, MD
• Rebecca Anne Moushon, PNP, RN
• Amanda Moy, RD
• Kelsey Jean Motyl Mudge
• Talal Rajab Muhtaseb, M.D.
• Darcel Mulholland, LCSW

• Custodial Care Facility in Vista, CA
• Providers in Vista, CA by specialty
• Custodial Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.