Mountain Shadows Support Group, Inc in Escondido - Nursing Facility/intermediate Care Facility
Mountain Shadows Support Group, Inc - NPI 1700901931
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 1700901931. The last update date is 2007-12-26.
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 | BUSINESS O |
|---|---|
| Authorized Official Name | Bryson Lupe |
| Telephone Number | 7607433714 |
NPI Number Detail
| NPI Number | 1700901931 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-12-26 |
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 |
|
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 |
|---|---|---|---|
| LTC80338F | CA | -- | |
| LTC80338G | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1700901931 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mountain Shadows Support Group, Inc?
The Mountain Shadows Support Group, Inc is situated at 2067 W El Norte Pkwy, in the city of Escondido, state of CA, with the zip code 920261810.
What is Mountain Shadows Support Group, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mountain Shadows Support Group, Inc's area of specialization is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this field of practice is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700901931 to Mountain Shadows Support Group, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1700901931 to Mountain Shadows Support Group, Inc on 2007-03-20.
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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