MONTAGE RECOVERY CA, LLC
NPI 1306611751
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 03D2323450
- CLIA Cert. Type: Other - MENTAL HEALTH RESIDENTIAL
- CLIA Exp. Date: 05-06-2027
About MONTAGE RECOVERY CA, LLC
This page provides the complete NPI Profile along with additional information for Montage Recovery Ca, Llc, a provider established in Phoenix, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1306611751 assigned on November 2023. 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 authorized official of this NPI record is Joann Zuniga (Vp)
- NPI
- 1306611751 Verify this NPI
- Provider Name
- MONTAGE RECOVERY CA, LLC
- Entity Type
- Organization
- Location Address
- 642 W LINGER LN PHOENIX, AZ 85021
- Location Phone
- (805) 437-6515
- Location Fax
- (805) 830-1565
- Mailing Address
- 203 S ORANGE DR LOS ANGELES, CA 90036
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-15-2023
- Last Update Date
- 11-15-2023
- 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.
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
- 03D2323450
- Facility Type
- Other - MENTAL HEALTH RESIDENTIAL
- Certificate Effective Date
- May 07, 2025
- Certificate Expiration Date
- May 06, 2027
- Laboratory Director
- BRADLEY J. ZEHRING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Montage Recovery Ca, Llc 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306611751, enumerated as an "organization" on November 15, 2023.
The provider is located at 642 W LINGER LN PHOENIX, AZ 85021 and the phone number is (805) 437-6515.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
