NPIMap

Organization Active NPI

Montage Recovery Ca, LLC

Doing business as Montare Vista

  • Mental Illness Community Based Residential Treatment Facility
  • Sherman Oaks, CA
National Provider Identifier
1619616927
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MONTAGE RECOVERY CA, LLC
Doing business as
Montare Vista
Practice address
14339 Valley Vista Blvd
Sherman Oaks, CA 91423-4027
Phone
(818) 299-3602
Fax
(805) 830-1565
NPI assigned
Jun 3, 2022
Last updated
Jun 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTAGE RECOVERY CA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Joann Zuniga
Title
Director
Phone
(805) 437-6515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

14339 Valley Vista Blvd
Sherman Oaks, CA 91423-4027

Mailing address

203 S Orange Dr
Los Angeles, CA 90036-3010
Phone (818) 299-3602

Other names 1

  • Montare Vista Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Montage Recovery Ca LLC15 organizations share this tax ID, including this one
Part of
Montage Recovery Ca LLC

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1619616927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ORANGE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363010",
            "telephone_number": "818-299-3602",
            "fax_number": "805-830-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14339 VALLEY VISTA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234027",
            "telephone_number": "818-299-3602",
            "fax_number": "805-830-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTAGE RECOVERY CA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTAGE RECOVERY CA, LLC",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-437-6515"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montare Vista",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.