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Mountain Shadows Support Group, Inc.

Nursing Facility/Intermediate Care Facility in Riverside, CA · enumerated 2007 · authorized official Lupe Bryson, Business Office Manager.

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

National Provider Identifier

1407971633

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Registry record

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 (760) 743-3714
Fax (760) 743-9937
Enumeration date Mar 20, 2007
Last updated in NPPES Dec 26, 2007

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 46989489 (CA) Primary

Authorized official

Name Lupe Bryson
Title Business Office Manager
Phone (760) 743-3714

Other identifiers

Identifier Type State Issuer
LTC80097F Medicaid CA -
LTC80097G Medicaid CA -

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.

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Frequently asked questions

Who is the authorized official for Mountain Shadows Support Group, Inc.?
NPPES lists Lupe Bryson (Business Office Manager) as the authorized official for this organization.
What is the NPI number for Mountain Shadows Support Group, Inc.?
The NPI for Mountain Shadows Support Group, Inc. is 1407971633, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-26.