Mountain Shadows Support Group, Inc.
Mountain Shadows Support Group, Inc. is a healthcare organization registered as Nursing Facility/Intermediate Care Facility in Riverside, CA, holding Type 2 (organization) NPI 1407971633 since 2007. The authorized official on file is Lupe Bryson, Business Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407971633 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mountain Shadows Support Group, Inc. |
| Other name | <Unavail> |
| Practice address | 7456 RIVER GLEN DR, Riverside, CA, 92509 |
| Phone | 7607433714 |
| Fax | 7607439937 |
| Enumeration date | 2007-03-20 |
| Last updated in NPPES | 2007-12-26 |
Authorized official
| Name | Lupe Bryson |
|---|---|
| Title | Business Office Manager |
| Phone | 7607433714 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | Primary | 46989489 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC80097F | Medicaid | CA | — |
| LTC80097G | Medicaid | CA | — |
Copy-ready billing details
Provider: Mountain Shadows Support Group, Inc. NPI: 1407971633 Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility) Address: 7456 RIVER GLEN DR, Riverside, CA, 92509
Verify this record
Cross-check NPI 1407971633 against the authoritative CMS record: view Mountain Shadows Support Group, Inc. 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, Inc.?
What is the NPI number for Mountain Shadows Support Group, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-12-26.