Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mountain Shadows Support Group, Inc.

Nursing Facility/Intermediate Care Facility in Moreno Valley, CA · enumerated 2007 · authorized official Lupe Bryson, Business Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063561991

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Mountain Shadows Support Group, Inc.

Other name <Unavail>

Practice address 27344 Darlene Dr, Moreno Valley, CA, 92555

Phone (760) 743-3714

Fax (760) 736-4173

Enumeration date Jan 9, 2007

Last updated in NPPES Sep 9, 2010

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License LTC80143F (CA) Primary

Authorized official

Name Lupe Bryson

Title Business Office Manager

Phone (760) 743-3714

Other identifiers

Identifier	Type	State	Issuer
LTC80143F	Medicaid	CA	-
LTC80143G	Medicaid	CA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Mountain Shadows Support Group, Inc.?

Mountain Shadows Support Group, Inc. is registered in NPPES as a Nursing Facility/Intermediate Care Facility (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-09-09.