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Mountain Shadows Support Group

Mountain Shadows Support Group is a healthcare organization registered as Intellectual Disabilities Intermediate Care Facility in Escondido, CA, holding Type 2 (organization) NPI 1346365590 since 2007. The authorized official on file is Guadalupe Bryson, Business Office Manager.

✓ Active NPI ✓ Valid NPI checksum Organization subpart

NPI 1346365590
Entity type Organization (Type 2)
Legal business name Mountain Shadows Support Group
Other name <Unavail>
Parent organization Mountain Shadows Support Group
Practice address 2067 W EL NORTE PKWY, Escondido, CA, 92026
Phone 7607433714
Fax 7607439937
Enumeration date 2007-03-20
Last updated in NPPES 2019-07-24

Authorized official

Name Guadalupe Bryson
Title Business Office Manager
Phone 7607433714

Taxonomy & classification

Taxonomy code Specialty Primary License State
313M00000X Nursing Facility/Intermediate Care Facility Secondary
315P00000X Intellectual Disabilities Intermediate Care Facility Primary 46989489 CA

Other identifiers

Identifier Type State Issuer
LTC60153I Medicaid CA
Copy-ready billing details
Provider: Mountain Shadows Support Group
NPI: 1346365590
Taxonomy: 315P00000X (Intellectual Disabilities Intermediate Care Facility)
Address: 2067 W EL NORTE PKWY, Escondido, CA, 92026

Providers at this address

NPI Name Type Specialty Location
1396894291 Mountain Shadows Support Group Organization Nursing Facility/Intermediate Care Facility Escondido, CA
1396860540 Mountain Shadows Support Group, Inc. Organization Intellectual Disabilities Intermediate Care Facility Escondido, CA
1972628121 Mountain Shadows Support Group, Inc. Organization Intellectual Disabilities Intermediate Care Facility Escondido, CA
1922123181 Mountain Shadows Support Group, Inc. Organization Intellectual Disabilities Intermediate Care Facility Escondido, CA
1710002951 Mountain Shadows Support Group, Inc. Organization Intellectual Disabilities Intermediate Care Facility Escondido, CA
1720103971 Mountain Shadows Support Group, Inc. Organization Intellectual Disabilities Intermediate Care Facility Escondido, CA
1871618033 Mountain Shadows Support Group, Inc. Organization Intellectual Disabilities Intermediate Care Facility Escondido, CA
1831214071 Mountain Shadows Support Group, Inc. Organization Intellectual Disabilities Intermediate Care Facility Escondido, CA

Verify this record

Cross-check NPI 1346365590 against the authoritative CMS record: view Mountain Shadows Support Group 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

Where is Mountain Shadows Support Group located?
The practice location on file with NPPES is in Escondido, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-07-24. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-07-24.