Provider Demographics
NPI:1285352419
Name:MONTARE HOSPITALS LLC
Entity type:Organization
Organization Name:MONTARE HOSPITALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-205-8232
Mailing Address - Street 1:1501 E ORANGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5130
Mailing Address - Country:US
Mailing Address - Phone:602-853-4357
Mailing Address - Fax:602-834-9841
Practice Address - Street 1:1501 E ORANGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5130
Practice Address - Country:US
Practice Address - Phone:602-853-4357
Practice Address - Fax:602-834-9841
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONTARE HOSPITALS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility