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 1750406070 since 2007. The authorized official on file is Lupe Bryson, Business Office Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1750406070 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mountain Shadows Support Group, Inc. |
| Other name | <Unavail> |
| Parent organization | Mountain Shadows Support Group. |
| Practice address | 4680 GLEN ST, Riverside, CA, 92509 |
| Phone | 7607433714 |
| Fax | 7607439937 |
| Enumeration date | 2007-03-20 |
| Last updated in NPPES | 2008-02-15 |
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 |
|---|---|---|---|
| LTC80008G | Medicaid | CA | — |
| LTC80008H | Medicaid | CA | — |
Copy-ready billing details
Provider: Mountain Shadows Support Group, Inc. NPI: 1750406070 Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility) Address: 4680 GLEN ST, Riverside, CA, 92509
Verify this record
Cross-check NPI 1750406070 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
What is a Type 2 NPI?
What type of organization is Mountain Shadows Support Group, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-02-15.