MONTAGE RECOVERY CA LLC (NPI# 1649884909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649884909 |
| Entity Type | Organization |
| Organization Name | MONTAGE RECOVERY CA LLC |
| Practice Address |
2890 Kana Dume Malibu CA 90265 |
| Mailing Address |
203 S Orange Dr Los Angeles CA 90036-3010 |
| Practice Telephone | 8182993602 |
| Practice Fax Number | 8058301565 |
| Mailing Telephone | 8182993602 |
| Mailing Fax Number | 8058301565 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | JOANN ZUNIGA (DIRECTOR) |
| Authorized Official Telephone | 8056160719 |
| Is Organization Subpart | Y |
| Parent Organization Name | - |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Kanan Dume RTC II | Doing Business As Name - Organization |
| Street Address |
2890 KANA DUME |
| City | MALIBU |
| State | CA |
| Zip Code | 90265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518887 | Oconnor Optometric Inc | Optometrist | 23401 Civic Center Way, Unit 2b, Malibu, CA 90265 | 2020-08-13 |
| 1184234593 | Jessica Gash | Student in an Organized Health Care Education/Training Program | 24420 Tiner Court, Malibu, CA 90265 | 2020-07-31 |
| 1902438393 | Montage Recovery Ca, LLC | Clinic/Center | 2890 Kanan Dume Road, Malibu, CA 90265 | 2020-02-04 |
| 1164909032 | Joseph Turcillo | Internal Medicine | 3065 Malibu Country Dr, Malibu, CA 90265 | 2018-07-24 |
| 1356830657 | Samantha Erin Schlossmann | Clinical Neuropsychologist | 28348 Rey De Copas Lane, Malibu, CA 90265 | 2018-05-02 |
| 1740783653 | Adam Dov Greenberg | Acupuncturist | 5853 Filaree Hts., Malibu, CA 90265 | 2018-03-16 |
| 1225556673 | Jeff Harris, M.d. A Medical Corporation | Pediatrics | 23805 Stuart Ranch Rd. #310, Malibu, CA 90265 | 2017-09-06 |
| 1184177347 | Michael J. Maguire Acupuncturist, Inc. | Acupuncturist | 28990 PCh, Building B Ste 211, Malibu, CA 90265 | 2016-07-25 |
| 1093182198 | Recovery Malibu, Inc. | Substance Abuse Rehabilitation Facility | 20723 Rockcroft Dr., Malibu, CA 90265 | 2015-08-25 |
| 1376927673 | Seth Mcrae Amitin | Counselor | 28955 Pacific Coast Hwy, Malibu, CA 90265 | 2015-07-16 |
| Find all providers in zip 90265 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172720 | Meadows | Psychiatric Residential Treatment Facility | 6395 Meadows Ct, Malibu, CA 90265-1706 | 2020-10-20 |
| 1912506064 | Point Dume | Psychiatric Residential Treatment Facility | 29149 Cliffside Dr, Malibu, CA 90265-4215 | 2020-10-20 |
| 1275132326 | Beach House | Psychiatric Residential Treatment Facility | 29245 Cliffside Dr, Malibu, CA 90265-4268 | 2020-10-20 |
| 1225646441 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 2900 S Kanan Dume Rd, Malibu, CA 90265-2792 | 2020-07-14 |
| 1760953194 | Pb California Rehab and Recovery, LLC | Psychiatric Residential Treatment Facility | 20713 Rockcroft Dr, Malibu, CA 90265-5343 | 2018-12-11 |
| 1174946552 | Westside Sober Living Centers, Inc. | Psychiatric Residential Treatment Facility | 20725 Rockcroft Dr, Malibu, CA 90265-5343 | 2014-01-21 |
| 1992050371 | Visions Treatment Centers, LLC | Psychiatric Residential Treatment Facility | 33335 Mulholland Hwy, Malibu, CA 90265-2438 | 2012-07-20 |
| 1417556564 | Via Escondido | Psychiatric Residential Treatment Facility | 6323 Via Escondido Dr, Malibu, CA 90265-4484 | 2020-10-20 |
| 1669923124 | Westside Sober Living Centers, Inc | Psychiatric Residential Treatment Facility | 20786 Cool Oak Way, Malibu, CA 90265-5318 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159566 | 3855 Brunston LLC | Psychiatric Residential Treatment Facility | 3855 Brunston Ct, Westlake Village, CA 91362-5130 | 2020-09-22 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1063024644 | Crownview Psychiatric Institute | Psychiatric Residential Treatment Facility | 1110 Camino Del Sol Cir, Carlsbad, CA 92008-3509 | 2020-08-17 |
| 1215545652 | Elevation Behavioral Health | Psychiatric Residential Treatment Facility | 3836 Kanan Rd, Agoura Hills, CA 91301-3237 | 2020-07-22 |
| 1053929273 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 17801 Twilight Ln, Encino, CA 91316-4330 | 2020-07-14 |
| 1710504451 | Adolescent Growth, Inc. | Psychiatric Residential Treatment Facility | 1170 Vista Ridge Ct, Concord, CA 94518-1739 | 2020-06-29 |
| 1104442730 | Creative Care, Inc. | Psychiatric Residential Treatment Facility | 24592 Mulholland Hwy, Calabasas, CA 91302-2351 | 2020-06-19 |
| 1467074112 | Alsana West LLC | Psychiatric Residential Treatment Facility | 166 Toro Canyon Rd, Carpinteria, CA 93013-3039 | 2020-05-15 |
| 1306471420 | Progress Ranch Treatment Services for Children | Psychiatric Residential Treatment Facility | 2725 Loyola Dr, Davis, CA 95618-1554 | 2020-03-09 |
| 1669005575 | Casa Capri Recovery LLC | Psychiatric Residential Treatment Facility | 675 Governor St, Costa Mesa, CA 92627-2504 | 2020-02-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.