Mountain Shadows Support Group, Inc in Escondido - Nursing Facility/intermediate Care Facility
Mountain Shadows Support Group, Inc - NPI 1154446383
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 1154446383. 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 7607364173. 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 | 7607364173 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Bryson Lupe |
| Telephone Number | 7607433714 |
NPI Number Detail
| NPI Number | 1154446383 |
|---|---|
| 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 | 7607364173 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 46989489 |
|
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 |
|---|---|---|---|
| LTC80063F | CA | -- | |
| LTC80063G | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mountain Shadows Support Group, Inc?
The Mountain Shadows Support Group, Inc has been issued the NPI (National Provider Identifier) 1154446383 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Mountain Shadows Support Group, Inc is physically located?
The Mountain Shadows Support Group, Inc is situated at the following address: 2067 W El Norte Pkwy, Escondido, CA 920261810.
What is Mountain Shadows Support Group, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mountain Shadows Support Group, Inc is Nursing Facility/intermediate Care Facility, and the taxonomy classification code that categorizes this area of expertise is 313M00000X.
On what date did Mountain Shadows Support Group, Inc receive its 1154446383 assignment from the Centers for Medicare & Medicaid Services?
The Mountain Shadows Support Group, Inc was assigned its 1154446383 on 2007-03-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mountain Shadows Support Group, Inc most recently updated or revised?
The details related to Mountain Shadows Support Group, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2010-09-09.
Address: 715 W 3rd St, Boone, IA
Address: Po Box 608, Weatherford, OK
Address: 1100 Mercer Avenue, Decatur, IN
Address: 207 State Ave, Glasgow, KY
Address: 9700 Mashburn Blvd, Oklahoma City, OK
Address: 305 S Palestine St, Athens, TX
Address: 350 Conway Dr, Kalispell, MT
Address: 162 Academy St, Presque Isle, ME
Address: 7150 Tampa Ave, Reseda, CA
Address: 2630 Old Anson Rd, Abilene, TX
Address: 18855 Victory Blvd, Reseda, CA
Address: 1022 Presidential Corridor East, Caldwell, TX
Address: 20 W Main St, Yarmouth, ME
Address: 300 Barr St, Canonsburg, PA
Address: 12 Court St, Keene, NH