Monte Nido Lake Vista, Llc

LBN: Monte Nido Lake Vista, Llc
Monte Nido Lake Vista, Llc is an health care organization with primary practice located at 1776 Ivanhoe Ave , Lafayette CA 94549-1954. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Monte Nido Lake Vista, Llc can be contacted via phone (305) 663-1876, or through Bagley, Mike via phone (305) 663-1876.

Contact Information

Primary practice address
1776 Ivanhoe Ave Lafayette CA 94549-1954
Phone: (305) 663-1876
Fax: (786) 359-4485
Website:
Map and Directions
Authorized official contact:
Name: Bagley, Mike
Phone: (305) 663-1876

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1053934984
LBN Legal business name Monte Nido Lake Vista, Llc
DBA Doing business as
Authorized official Bagley, Mike
Entity Organization
Organization subpart 1 Yes
Enumeration date May 27th, 2020
Last updated May 27th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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