Sage Mountain Senior Housing Partners, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SAGE MOUNTAIN SENIOR HOUSING PARTNERS, LLC

Practice address

3499 Grande Vista Dr
Thousand Oaks, CA 91320-1131

Phone

(949) 485-2022

NPI assigned

Jun 12, 2025

Organization subpart

No

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

Authorized official

Name

Stacy Randels

Title

VP Asset Management

Phone

(531) 800-3364

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1740175223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 GRANDE VISTA DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913201131",
            "telephone_number": "949-485-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 GRANDE VISTA DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913201131",
            "telephone_number": "949-485-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MOUNTAIN SENIOR HOUSING PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "RANDELS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "VP ASSET MANAGEMENT",
        "authorized_official_telephone_number": "531-800-3364"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.