# MONTE VISTA LODGE LIMITED PARTNERSHIP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MONTE VISTA LODGE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649212986
- **Authorized official:** MR. JOHN B GOODMAN (PRESIDENT OF GENERAL PARTNER)
- **Authorized official phone:** (952) 361-8000

## Contact information

- **Practice address:** 2211 MASSACHUSETTS AVE, LEMON GROVE, CA 91945-3616
- **Practice address phone:** (619) 465-1331
- **Practice address fax:** (619) 465-2426
- **Mailing address:** 1107 HAZELTINE BLVD, SUITE 200, CHASKA, MN 55318-1009
- **Mailing address phone:** (952) 361-8000
- **Mailing address fax:** (952) 361-8058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | CA | — |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 09/11/2025