MONTE VISTA LODGE – Skilled Nursing Facility, NPI 1649212986

MONTE VISTA LODGE is a healthcare provider. based in Chaska, Minnesota. specializing in Skilled Nursing Facility. The NPI Number for MONTE VISTA LODGE is 1649212986

Main info

Organization
Name
MONTE VISTA LODGE
NPI
1649212986
Phone
(952) 361-8000
Address
1107 HAZELTINE BLVD
Authorized Official
MR. JOHN B GOODMAN PRESIDENT OF GENERAL PARTNER
Enumeration Date
12 June 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness90
Years active:20State licenses:0Digital endpoints

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Provider Addresses for MONTE VISTA LODGE

  • 1107, Hazeltine Boulevard, Hazeltine, Chaska, Carver County, Minnesota, 55318, United States

    SUITE 200

    CHASKA, MN 553181009

    Phone: (952) 361-8000

    Fax: (952) 361-8058

    Type: Mailing

  • 2211, Massachusetts Avenue, Lemon Grove, San Diego County, California, 91945, United States

    LEMON GROVE, CA 919453616

    Phone: (619) 465-1331

    Fax: (619) 465-2426

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55318)

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Reviews

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Frequently asked questions

How is MONTE VISTA LODGE identified in CMS data?
CMS-hosted NPPES data lists MONTE VISTA LODGE with NPI 1649212986.
Does the file indicate MONTE VISTA LODGE is practicing under active NPI?
Directory data currently reports MONTE VISTA LODGE as active.
What taxonomy line describes MONTE VISTA LODGE?
For research purposes, treat MONTE VISTA LODGE as Skilled Nursing Facility in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MONTE VISTA LODGE?
MONTE VISTA LODGE's geographic hint is Chaska, Minnesota in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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