Montclair Guest Home, Inc

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

MONTCLAIR GUEST HOME, INC

Practice address

4515 Orchard St
Montclair, CA 91763-3102

Phone

(909) 624-5575

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Oran Reznik

Title

Manager

Phone

(909) 624-5575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1124284245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 ORCHARD ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633102",
            "telephone_number": "909-624-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 ORCHARD ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633102",
            "telephone_number": "909-624-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR GUEST HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "REZNIK",
        "authorized_official_first_name": "ORAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-624-5575"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Residential Treatment Facility in Montclair, CA
• Providers in Montclair, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.