Mountain Shadows Support Group
Mountain Shadows Support Group is a healthcare organization registered as Nursing Facility/Intermediate Care Facility in Escondido, CA, holding Type 2 (organization) NPI 1396894291 since 2007. The authorized official on file is Lupe Bryson, Business Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396894291 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mountain Shadows Support Group |
| Other name | <Unavail> |
| Practice address | 2067 W EL NORTE PKWY, Escondido, CA, 92026 |
| Phone | 7607433714 |
| Fax | 7607439937 |
| Enumeration date | 2007-01-09 |
| Last updated in NPPES | 2011-11-09 |
Authorized official
| Name | Lupe Bryson |
|---|---|
| Title | Business Office Manager |
| Phone | 7607433714 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | Secondary | LTC60136I | CA |
| 313M00000X | Nursing Facility/Intermediate Care Facility | Primary | 090000253 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC60136I | Medicaid | CA | — |
Copy-ready billing details
Provider: Mountain Shadows Support Group NPI: 1396894291 Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility) Address: 2067 W EL NORTE PKWY, Escondido, CA, 92026
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 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 |
| 1982729133 | Mountain Shadows Support Group, Inc | Organization | Intellectual Disabilities Intermediate Care Facility | Escondido, CA |
Verify this record
Cross-check NPI 1396894291 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
Who is the authorized official for Mountain Shadows Support Group?
What is the NPI number for Mountain Shadows Support Group?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-11-09.