Shadow Mountain Management
Shadow Mountain Management is a healthcare organization registered as Skilled Nursing Facility in Canon City, CO, holding Type 2 (organization) NPI 1366430910 since 2005. The authorized official on file is Shelby Townsend, Business Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366430910 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shadow Mountain Management |
| Other name | <Unavail> |
| Practice address | 1401 PHAY AVE, Canon City, CO, 81212 |
| Phone | 7192758656 |
| Enumeration date | 2005-10-07 |
| Last updated in NPPES | 2026-01-28 |
Authorized official
| Name | Shelby Townsend |
|---|---|
| Title | Business Office Manager |
| Phone | 7192758656 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 0055 | CO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05653571 | Medicaid | CO | — |
| 42337071 | Other | CO | RESPITE PROVIDER NUMBER |
Copy-ready billing details
Provider: Shadow Mountain Management NPI: 1366430910 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1401 PHAY AVE, Canon City, CO, 81212
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407193097 | Linda Hampton | Individual | Physical Therapy Assistant | Canon City, CO |
| 1750778627 | Melissa Southard | Individual | Occupational Therapy Assistant | Canon City, CO |
| 1356723878 | Leif Smith | Individual | Speech-Language Pathologist | Canon City, CO |
| 1780198598 | Shadow Mountain Management | Organization | Respite Care | Canon City, CO |
| 1033686027 | Jill Zupancic | Individual | Physical Therapy Assistant | Canon City, CO |
| 1891342168 | Sarah Pridemore | Individual | Physical Medicine & Rehabilitation Physician | Canon City, CO |
| 1306494554 | Amy Stair | Individual | Clinical Social Worker | Canon City, CO |
| 1972182582 | Tracy Nible | Individual | Physical Therapy Assistant | Canon City, CO |
Verify this record
Cross-check NPI 1366430910 against the authoritative CMS record: view Shadow Mountain Management 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 a Type 2 NPI?
What type of organization is Shadow Mountain Management?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-28.