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MONTE NIDO LAKE VISTA, LLC
NPI 1730357930
Community Based Residential Treatment Facility, Mental Illness in Agoura Hills, CA

Active since February 11, 2008CLIA 05D2092574 · Waiver
28855 LAKE VISTA DR, AGOURA HILLS, CA 91301(818) 338-7890(818) 338-7897 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Monte Nido Lake Vista, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTE NIDO LAKE VISTA, LLC (NPI 1730357930) is a healthcare organization registered as a community based residential treatment facility, mental illness in Agoura Hills, California and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Mike Bagley, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1730357930
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMONTE NIDO LAKE VISTA, LLC
Location Address28855 LAKE VISTA DRAgoura Hills, CA 91301-2801
Mailing Address6100 Sw 76th StSouth Miami, FL 33143-5002 · (305) 663-1876 · Fax (786) 359-4485
Phone(818) 338-7890
Fax(818) 338-7897
Organization SubpartNo
Authorized OfficialMike BagleyChief Financial Officer · (305) 663-1876
Enumeration DateFebruary 11, 2008
Last NPPES UpdateMay 27, 2020
NPPES CertifiedMay 27, 2020
✔ NPI 1730357930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in CA · 550000662
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

28855 LAKE VISTA DR, Agoura Hills, CA 91301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2092574

Monte Nido Vista · Agoura Hills, CA
Active · expires Mar 8, 2027
CLIA Number05D2092574
Laboratory TypeResi Mental Hlth Facility
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorMolly M. Perlman
Laboratory Phone(818) 338-7890
Laboratory LocationMonte Nido Vista28855 Lake Vista Drive, Agoura Hills, CA 91301
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monte Nido Lake Vista, LLC's NPI number?

The NPI number for Monte Nido Lake Vista, LLC is 1730357930. It was assigned to this organization in the NPPES registry on February 11, 2008.

Where is Monte Nido Lake Vista, LLC located?

Monte Nido Lake Vista, LLC is located at 28855 Lake Vista Dr, Agoura Hills, CA 91301. The listed phone number is (818) 338-7890.

What is Monte Nido Lake Vista, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Monte Nido Lake Vista, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2092574) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Monte Nido Lake Vista, LLC accept?

Health plans from Kaiser Permanente list Monte Nido Lake Vista, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monte Nido Lake Vista, LLC was last updated on May 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.