Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mountain Shadows Support Group, Inc

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

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

National Provider Identifier

1447374020

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Mountain Shadows Support Group, Inc

Other name <Unavail>

Practice address Maggie Marsh, 10467 Morning Ridge Dr., Moreno Valley, CA, 92557

Phone (760) 743-3714

Fax (760) 743-9937

Enumeration date Mar 19, 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
LTC80273G	Medicaid	CA	-
LTC80273F	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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Mountain Shadows Support Group, Inc located?

The practice location on file with NPPES is in Moreno Valley, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-12-26. Verify at npiregistry.cms.hhs.gov.

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