Monticello Guest Home, Inc.

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

MONTICELLO GUEST HOME, INC.

Doing business as

Bianchi Manor Country

Practice address

4951 E Eight Mile Rd
Stockton, CA 95212-9449

Phone

(209) 334-1151

Fax

(209) 367-1315

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Remedios Respicio Tabangcura, RN

Title

Director

Phone

(209) 298-0371

Specialties & licenses 1

Addresses

Other names 1

• Bianchi Manor Country Doing business as

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437365988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690069",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952690069",
            "telephone_number": "209-727-5749",
            "fax_number": "209-727-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 E EIGHT MILE RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952129449",
            "telephone_number": "209-334-1151",
            "fax_number": "209-367-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO GUEST HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TABANGCURA",
        "authorized_official_first_name": "REMEDIOS",
        "authorized_official_middle_name": "RESPICIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-298-0371",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bianchi Manor Country",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luis Cyrus Montes de Oca, DO
• Mariel Montes
• Yaruby Guadalupe Montes
• Carolyn Kirsten Montgomery, M.S, CCC-SLP
• Mary Kathryn Montgomery, MSW
• Selene Montiel
• Samantha Ann Montijo, MFT
• Alexis Montoya Villalpando, M.S. PSYCHOLOGY
• Esmeralda Montoya-Martinez
• Jennie Lupe Montoya

• Alzheimer Center (Dementia Center) in Stockton, CA
• Providers in Stockton, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.