Mountain Shadows Support Group, Inc. in Escondido - Intermediate Care Facility, Intellectual Disabilities
Mountain Shadows Support Group, Inc. - NPI 1265557417
Mountain Shadows Support Group, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Escondido, California. Mountain Shadows Support Group, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Mountain Shadows Support Group, Inc. is 1265557417. The last update date is 2020-08-22.
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 | 1265557417 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-22 |
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 | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 46989489 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC60154I | 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) 1265557417 by the CMS (Centers for Medicare & Medicaid Services), which serves as 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 the Mountain Shadows Support Group, Inc.'s area of specialization and corresponding taxonomy classification?
The Mountain Shadows Support Group, Inc.'s specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.
On what date did the Mountain Shadows Support Group, Inc. receive the assignment of its 1265557417 from the Centers for Medicare & Medicaid Services?
The Mountain Shadows Support Group, Inc. was issued its 1265557417 by the Centers for Medicare & Medicaid Services on 2007-03-20.
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 2020-08-22.