NPIMap

Organization Active NPI

Montage Recovery Ca, LLC

Doing business as Montare at the Boulevard

  • Mental Illness Community Based Residential Treatment Facility
  • Encino, CA
National Provider Identifier
1770150658
Registry record updated Apr 1, 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 at the Boulevard
Practice address
4944 Lindley Ave
Encino, CA 91316-4234
Phone
(818) 299-3602
Fax
(805) 830-1565
NPI assigned
Jun 8, 2021
Last updated
Apr 1, 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 Apr 1, 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) 616-0719

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

4944 Lindley Ave
Encino, CA 91316-4234

Mailing address

4944 Lindley Ave
Encino, CA 91316-4234
Phone (805) 616-0719

Other names 1

  • Montare at the Boulevard Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Montage Recovery California15 organizations share this tax ID, including this one
Part of
Montage Recovery California

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1770150658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 LINDLEY AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164234",
            "telephone_number": "805-616-0719",
            "fax_number": "805-830-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 LINDLEY AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164234",
            "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": "2021-06-08",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-616-0719"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montare at the Boulevard",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montare at the Boulevard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.