MONTE NIDO GEORGIA LLC NPI 1073141271

NPI Information

  • NPI: 1073141271
  • Provider Name: MONTE NIDO GEORGIA LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Doing Business As: MONTE NIDO ATLANTA
  • CLIA Number: 11D2195357
  • Address: 126 JOHNSON FERRY ROAD NE
    SANDY SPRINGS, GA
    ZIP 30328
  • Phone: (305) 663-1876

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NPI Details

MONTE NIDO GEORGIA LLC is a community based residential treatment facility mental illness in Sandy Springs, GA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MONTE NIDO GEORGIA LLC NPI is 1073141271. The provider is registered as an organization entity type.
The provider Is Doing Business As Monte Nido Atlanta.

The provider's business location address is:

126 JOHNSON FERRY ROAD NE
SANDY SPRINGS, GA
ZIP 30328-004
Phone: (305) 663-1876
Fax: (786) 359-4485

The provider's authorized official is Mike Bagley .
The authorized official title is Chief Financial Officer and has the following contact phone number (305) 663-1876.

The CLIA number assigned to this NPI record is 11D2195357 - other - res mental hlth fac with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/1/2020 and was last updated on 2/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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