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 1942325188 since 2007. The authorized official on file is Lupe Bryson, Business Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1942325188 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mountain Shadows Support Group, Inc |
| Other name | <Unavail> |
| Practice address | 4792 MEADOW LAND 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 |
|---|---|---|---|
| LTC80214F | Medicaid | CA | — |
| LTC80214G | Medicaid | CA | — |
Copy-ready billing details
Provider: Mountain Shadows Support Group, Inc NPI: 1942325188 Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility) Address: 4792 MEADOW LAND DR, Riverside, CA, 92509
Verify this record
Cross-check NPI 1942325188 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
Where is Mountain Shadows Support Group, Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-12-26.