Mountain Shadows Support Group, NPI 1932563194
Nursing Facility/Intermediate Care Facility in Jurupa Valley, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1932563194
NPI Entity Type Organization
Provider Name Mountain Shadows Support Group
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 7719 Joshua Rd., Jurupa Valley, CA, US
Provider Mailing Address 970 Los Vallecitos Blvd, Suite 240, San Marcos, CA, US, 920691473
Is Sole Proprietor? No
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Organization Official

Official Name Lupe Bryson
Official Position BUSINESS OFFICE MANAGER
Phone 760-743-3714

Primary Taxonomy

Taxonomy Code

313M00000X

Taxonomy Name Nursing Facility/Intermediate Care Facility
Classification

Nursing Facility/Intermediate Care Facility

Group

Nursing & Custodial Care Facilities

License State CA
Description 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 rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Other Organization Name

MOUNTAIN SHADOWS SPECIAL KIDS HOMES-JOSHUA
Doing Business As

Business Address

Mountain Shadows Support Group
7719 Joshua Rd.

Jurupa Valley, CA, US

Phone: 760-743-3714

Mailing Address

Mountain Shadows Support Group
970 Los Vallecitos Blvd
Suite 240
San Marcos, CA, US
ZIP 920691473
Phone: 760-743-3714

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