Mountain Shadows Support Group in Escondido - Nursing Facility/intermediate Care Facility

Mountain Shadows Support Group - NPI 1346365590

Mountain Shadows Support Group is a Nursing Facility/intermediate Care Facility in Escondido, California. Mountain Shadows Support Group practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Mountain Shadows Support Group is 1346365590. The last update date is 2019-07-24.

Mountain Shadows Support Group'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 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
Address 2067 W El Norte Pkwy, Escondido, California
Phone Number 7607433714
Fax Number 7607439937
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUSINESS O
Authorized Official Name Bryson Guadalupe
Telephone Number 7607433714

NPI Number Detail

NPI Number 1346365590
Provider Enumeration Date 2007-03-20
Last Updated Date 2019-07-24

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
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LTC60153I CA --

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FAQs about Mountain Shadows Support Group

What is the unique identification code assigned to Mountain Shadows Support Group by the Centers for Medicare & Medicaid Services?

The Mountain Shadows Support Group has been issued the NPI (National Provider Identifier) 1346365590. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mountain Shadows Support Group is geographically located?

The Mountain Shadows Support Group is physically situated at the following location: 2067 W El Norte Pkwy, Escondido, CA, 920261810.

What is Mountain Shadows Support Group's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mountain Shadows Support Group is Nursing Facility/intermediate Care Facility, and the taxonomy code that classifies this field of practice is 313M00000X.

When was the Mountain Shadows Support Group's 1346365590 issued?

The Mountain Shadows Support Group's 1346365590 was issued on 2007-03-20.

When was the Mountain Shadows Support Group's information last updated?

The Mountain Shadows Support Group's information was last updated on 2019-07-24.

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