Shadow Mountain LLC.
Shadow Mountain LLC. is a healthcare organization registered as Substance Abuse Rehabilitation Facility in Taos, NM, holding Type 2 (organization) NPI 1295154888 since 2014. The authorized official on file is Jackie Holub, Vice President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295154888 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shadow Mountain LLC. |
| Other name | <Unavail> |
| Practice address | 250 SHADOW MOUNTAIN RD., Taos, NM, 87571 |
| Phone | 5757514851 |
| Enumeration date | 2014-04-10 |
| Last updated in NPPES | 2017-05-10 |
Authorized official
| Name | Jackie Holub |
|---|---|
| Title | Vice President |
| Phone | 9253898591 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | Primary | STATE WAIVER | NM |
Copy-ready billing details
Provider: Shadow Mountain LLC. NPI: 1295154888 Taxonomy: 324500000X (Substance Abuse Rehabilitation Facility) Address: 250 SHADOW MOUNTAIN RD., Taos, NM, 87571
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750194411 | Longview Recovery LLC | Organization | Substance Use Disorder Rehabilitation Clinic/Center | Taos, NM |
Verify this record
Cross-check NPI 1295154888 against the authoritative CMS record: view Shadow Mountain LLC. on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Shadow Mountain LLC.?
Who is the authorized official for Shadow Mountain LLC.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-05-10.