Mountain Shadows Support Group, Inc in Escondido - Nursing Facility/intermediate Care Facility
Mountain Shadows Support Group, Inc - NPI 1053436287
Mountain Shadows Support Group, Inc is a Nursing Facility/intermediate Care Facility in Escondido, California. Mountain Shadows Support Group, Inc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Mountain Shadows Support Group, Inc is 1053436287. The last update date is 2010-09-09.
Mountain Shadows Support Group, Inc's current location address is 2067 W El Norte Pkwy, Escondido, California. You can contact this provider via phone number 7607433714 and fax number 7607439937. The mailing address for Mountain Shadows Support Group, Inc is 2067 W El Norte Pkwy, Escondido, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Shadows Support Group, Inc |
|---|---|
| Address | 2067 W El Norte Pkwy, Escondido, California |
| Phone Number | 7607433714 |
| Fax Number | 7607439937 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSSINESS |
|---|---|
| Authorized Official Name | Bryson Lupe |
| Telephone Number | 7607433714 |
NPI Number Detail
| NPI Number | 1053436287 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2010-09-09 |
Provider Mailing Address Detail
| Address | 2067 W El Norte Pkwy |
|---|---|
| City | Escondido |
| State | California (CA) |
| Post Code | 920261810 |
| Phone Number | 7607433714 |
| Fax Number | 7607439937 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 46989489 |
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Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC80083G | CA | -- | |
| LTC80083F | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mountain Shadows Support Group, Inc by the Centers for Medicare & Medicaid Services?
The Mountain Shadows Support Group, Inc has been assigned the NPI (National Provider Identifier) 1053436287. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mountain Shadows Support Group, Inc located?
The Mountain Shadows Support Group, Inc is located at 2067 W El Norte Pkwy, Escondido, CA 920261810.
What is the area of specialization for Mountain Shadows Support Group, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mountain Shadows Support Group, Inc is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this area of expertise is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053436287 to Mountain Shadows Support Group, Inc?
The Centers for Medicare & Medicaid Services assigned the 1053436287 to Mountain Shadows Support Group, Inc on 2007-03-20.
As of what date was the information pertaining to Mountain Shadows Support Group, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mountain Shadows Support Group, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-09-09.