Mountain Shadows Support Group, Inc. in Escondido - Nursing Facility/intermediate Care Facility
Mountain Shadows Support Group, Inc. - NPI 1215061767
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 1215061767. The last update date is 2007-12-26.
Mountain Shadows Support Group, Inc.'s current location address is Sheila Marie, 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 Sheila Marie, Escondido, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Shadows Support Group, Inc. |
|---|---|
| Address | Sheila Marie, 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 | 1215061767 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2007-12-26 |
Provider Mailing Address Detail
| Address | Sheila Marie |
|---|---|
| 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 |
|
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 |
|---|---|---|---|
| LTC80195G | CA | -- | |
| LTC80195F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mountain Shadows Support Group, Inc. by the Centers for Medicare & Medicaid Services?
The Mountain Shadows Support Group, Inc. has been issued the NPI (National Provider Identifier) 1215061767, which 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, Inc. is geographically located?
The Mountain Shadows Support Group, Inc. is physically situated at the following location: Sheila Marie, Escondido, CA, 920261810.
What is Mountain Shadows Support Group, Inc.'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, Inc. is Nursing Facility/intermediate Care Facility, and the taxonomy code that classifies this field of practice is 313M00000X.
On what date was the 1215061767 assigned to Mountain Shadows Support Group, Inc.?
The Mountain Shadows Support Group, Inc. was issued its 1215061767 on 2007-03-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mountain Shadows Support Group, Inc.'s details last updated?
The information pertaining to the Mountain Shadows Support Group, Inc., including its address, specialty, and other details, was most recently updated on 2007-12-26.
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