MONTAGE RECOVERY CA-COSTA COLINA I
NPI 1700549102
Community Based Residential Treatment Facility, Mental Illness in Encino, CA
NPI Status: Active since October 21, 2021
Contact Information
18016 VALLEY VISTA BLVD
ENCINO, CA
ZIP 91316
Phone: (805) 437-6515
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 05D2184580
- CLIA Cert. Type: Other - MENTAL HEALTH RESIDENTIAL
- CLIA Exp. Date: 05-20-2026
About MONTAGE RECOVERY CA-COSTA COLINA I
This page provides the complete NPI Profile along with additional information for Montage Recovery Ca-costa Colina I, a provider established in Encino, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1700549102 assigned on October 2021. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Montage Recovery Ca-costa Colina I. The authorized official of this NPI record is Joann Zuniga (Director)
- NPI
- 1700549102
- Provider Legal Name
- MONTAGE RECOVERY CA, LLC
- Other Organization Name
- MONTAGE RECOVERY CA-COSTA COLINA I
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 18016 VALLEY VISTA BLVD ENCINO, CA 91316
- Location Phone
- (805) 437-6515
- Mailing Address
- 203 S ORANGE DR LOS ANGELES, CA 90036
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-21-2021
- Last Update Date
- 04-01-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2184580
- Facility Type
- Other - MENTAL HEALTH RESIDENTIAL
- Certificate Effective Date
- May 21, 2024
- Certificate Expiration Date
- May 20, 2026
- Laboratory Director
- BRADLEY J. ZEHRINV
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Montage Recovery Ca-costa Colina I to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 5 | 4 | 9 | 1 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 10 | 4 | 18 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 0 + 4 + 1 + 8 + 1 + 0 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1700549102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700549102, enumerated in the NPI registry as an "organization" on October 21, 2021
The provider is located at 18016 Valley Vista Blvd Encino, Ca 91316 and the phone number is (805) 437-6515
This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X
The provider's CLIA number is 05D2184580 for a "other - mental health residential" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 21, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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