Mountain Shadows Support Group, Inc. in Escondido - Nursing Facility/intermediate Care Facility
Mountain Shadows Support Group, Inc. - NPI 1063561991
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 1063561991. The last update date is 2010-09-09.
Mountain Shadows Support Group, Inc.'s current location address is Darlene House, 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 Darlene House, Escondido, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Shadows Support Group, Inc. |
|---|---|
| Address | Darlene House, Escondido, California |
| Phone Number | 7607433714 |
| Fax Number | 7607439937 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Bryson Lupe |
| Telephone Number | 7607433714 |
NPI Number Detail
| NPI Number | 1063561991 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2010-09-09 |
Provider Mailing Address Detail
| Address | Darlene House |
|---|---|
| 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 | LTC80143F |
|
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 |
|---|---|---|---|
| LTC80143F | CA | -- | |
| LTC80143G | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit 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) 1063561991 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mountain Shadows Support Group, Inc.?
The Mountain Shadows Support Group, Inc. is physically situated at Darlene House, in the city of Escondido, state of CA, with the postal code 920261810.
What is the Mountain Shadows Support Group, Inc.'s specialty and taxonomy code?
The Mountain Shadows Support Group, Inc.'s specialty is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code is 313M00000X.
When did the Mountain Shadows Support Group, Inc. receive its 1063561991?
The Mountain Shadows Support Group, Inc. was issued its 1063561991 on 2007-01-09, which is the date when the organization was assigned this unique identifier.
When was the information related to Mountain Shadows Support Group, Inc. most recently updated or refreshed?
The details pertaining to the Mountain Shadows Support Group, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2010-09-09.
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