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MONTE NIDO RESIDENTIAL CENTER
NPI 1912048570
Community Based Residential Treatment Facility, Mental Illness in Calabasas, CA

Active since February 08, 2007CLIA 05D2159903 · Waiver
514 LIVE OAK CIRCLE DR, CALABASAS, CA 91302(818) 222-9534(818) 222-3818 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 3, 2020, Mar 14, 2016 (2 updates tracked since 2016).

About Monte Nido Residential Center NPPES

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

MONTE NIDO RESIDENTIAL CENTER (NPI 1912048570) is a healthcare organization registered as a community based residential treatment facility, mental illness in Calabasas, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Mike Bagley, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1912048570
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMONTE NIDO RESIDENTIAL CENTER, LLC
Location Address514 LIVE OAK CIRCLE DRCalabasas, CA 91302-2139
Mailing Address6100 Sw 76th StSouth Miami, FL 33143-5002 · (305) 663-1876
Phone(818) 222-9534
Fax(818) 222-3818
Organization SubpartNo
Authorized OfficialMike BagleyChief Financial Officer · (305) 663-1876
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
✔ NPI 1912048570 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 · 980001603
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
514 LIVE OAK CIRCLE DR, Calabasas, CA 91302
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Other Names 1

Doing Business AsMonte Nido Residential Center

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 05D2159903

Monte Nido Treatment Center · Calabasas, CA
Active · expires Dec 30, 2026
CLIA Number05D2159903
Laboratory TypeResi Mental Hlth Facility
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorMolly M. Perlman MD
Laboratory Phone(818) 222-9534
Laboratory LocationMonte Nido Treatment Center514 Live Oak Circle Drive, Calabasas, CA 91302
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 Residential Center, LLC's NPI number?

The NPI number for Monte Nido Residential Center, LLC is 1912048570. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Monte Nido Residential Center.

Where is Monte Nido Residential Center, LLC located?

Monte Nido Residential Center, LLC is located at 514 Live Oak Circle Dr, Calabasas, CA 91302. The listed phone number is (818) 222-9534.

What is Monte Nido Residential Center, 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 Residential Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2159903) is associated with this NPI, valid through December 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Monte Nido Residential Center, LLC was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.