Mountain Shadows Support Group, Inc in Escondido - Nursing Facility/intermediate Care Facility
Mountain Shadows Support Group, Inc - NPI 1922123157
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 1922123157. 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 | 1922123157 |
|---|---|
| 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 |
|---|---|---|---|
| LTC80025F | CA | -- | |
| LTC80025G | 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) 1922123157 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Mountain Shadows Support Group, Inc located?
The Mountain Shadows Support Group, Inc is located at 2067 W El Norte Pkwy, Escondido, CA 920261810.
What is the Mountain Shadows Support Group, Inc's area of specialization and corresponding taxonomy classification?
The Mountain Shadows Support Group, Inc's specialty field is Nursing Facility/intermediate Care Facility, and it falls under the taxonomy code 313M00000X, which categorizes healthcare providers based on their specialties.
When did the Mountain Shadows Support Group, Inc receive its 1922123157?
The Mountain Shadows Support Group, Inc was issued its 1922123157 on 2007-03-20, 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 2007-12-26.
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