Mountain Shadows Support Group, Inc in Escondido - Nursing Facility/intermediate Care Facility
Mountain Shadows Support Group, Inc - NPI 1942325188
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 1942325188. 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 | 1942325188 |
|---|---|
| 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 |
|---|---|---|---|
| LTC80214F | CA | -- | |
| LTC80214G | 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) 1942325188 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mountain Shadows Support Group, Inc's facilities are situated?
The facilities of Mountain Shadows Support Group, Inc are physically located at the following address: 2067 W El Norte Pkwy, Escondido, CA, 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.
On what date did the Centers for Medicare & Medicaid Services issue the 1942325188 to Mountain Shadows Support Group, Inc?
The Mountain Shadows Support Group, Inc received its 1942325188 assignment from the Centers for Medicare & Medicaid Services 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.
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