NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shadow Mountain LLC.

Substance Abuse Rehabilitation Facility in Taos, NM · enumerated 2014 · authorized official Jackie Holub, Vice President.

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

National Provider Identifier

1295154888

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Shadow Mountain LLC.
Other name <Unavail>
Practice address 250 Shadow Mountain Rd., Taos, NM, 87571
Phone (575) 751-4851
Enumeration date Apr 10, 2014
Last updated in NPPES May 10, 2017

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License STATE WAIVER (NM) Primary

Authorized official

Name Jackie Holub
Title Vice President
Phone (925) 389-8591

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 is the NPI number for Shadow Mountain LLC.?
The NPI for Shadow Mountain LLC. is 1295154888, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Shadow Mountain LLC.?
NPPES lists Jackie Holub (Vice President) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-10.