Mountain Shadows Support Group, Inc.
Mountain Shadows Support Group, Inc. is a healthcare organization registered as Intellectual Disabilities Intermediate Care Facility in Escondido, CA, holding Type 2 (organization) NPI 1972628121 since 2007. The authorized official on file is Lupe Bryson, Business Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1972628121 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mountain Shadows Support Group, Inc. |
| Other name | <Unavail> |
| Practice address | 2067 W EL NORTE PKWY, Escondido, CA, 92026 |
| Phone | 7607433714 |
| Fax | 7607439937 |
| Enumeration date | 2007-03-20 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Lupe Bryson |
|---|---|
| Title | Business Office Manager |
| Phone | 7607433714 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | Primary | 46989489 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC60208H | Medicaid | CA | — |
Copy-ready billing details
Provider: Mountain Shadows Support Group, Inc. NPI: 1972628121 Taxonomy: 315P00000X (Intellectual Disabilities Intermediate Care Facility) Address: 2067 W EL NORTE PKWY, Escondido, CA, 92026
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396894291 | Mountain Shadows Support Group | Organization | Nursing Facility/Intermediate Care Facility | Escondido, CA |
| 1396860540 | Mountain Shadows Support Group, Inc. | Organization | Intellectual Disabilities Intermediate Care Facility | Escondido, CA |
| 1922123181 | Mountain Shadows Support Group, Inc. | Organization | Intellectual Disabilities Intermediate Care Facility | Escondido, CA |
| 1710002951 | Mountain Shadows Support Group, Inc. | Organization | Intellectual Disabilities Intermediate Care Facility | Escondido, CA |
| 1720103971 | Mountain Shadows Support Group, Inc. | Organization | Intellectual Disabilities Intermediate Care Facility | Escondido, CA |
| 1871618033 | Mountain Shadows Support Group, Inc. | Organization | Intellectual Disabilities Intermediate Care Facility | Escondido, CA |
| 1831214071 | Mountain Shadows Support Group, Inc. | Organization | Intellectual Disabilities Intermediate Care Facility | Escondido, CA |
| 1982729133 | Mountain Shadows Support Group, Inc | Organization | Intellectual Disabilities Intermediate Care Facility | Escondido, CA |
Verify this record
Cross-check NPI 1972628121 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 type of organization is Mountain Shadows Support Group, Inc.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.