Monte Vista Lodge Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MONTE VISTA LODGE LIMITED PARTNERSHIP

Doing business as

Monte Vista Lodge

Practice address

2211 Massachusetts Ave
Lemon Grove, CA 91945-3616

Phone

(619) 465-1331

Fax

(619) 465-2426

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John B Goodman

Title

President of General Partner

Phone

(952) 361-8000

Specialties & licenses 2

Addresses

Other names 1

• MONTE VISTA LODGE Doing business as

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1649212986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD",
            "address_2": "SUITE 200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181009",
            "telephone_number": "952-361-8000",
            "fax_number": "952-361-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MASSACHUSETTS AVE",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919453616",
            "telephone_number": "619-465-1331",
            "fax_number": "619-465-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE VISTA LODGE LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT OF GENERAL PARTNER",
        "authorized_official_telephone_number": "952-361-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTE VISTA LODGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kara A Middleton, PA-C
• Roland Milan, LPT
• Erica Mills
• Patricia Johnson Mims, LMFT
• Jennifer Mitchell
• Esther Montez, CAADAC
• Sarah Anne Montion
• Brian Moore
• Refell Moore
• Talia Isabel Morales, MA; MT-BC

• Skilled Nursing Facility in Lemon Grove, CA
• Providers in Lemon Grove, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.