SHADY GLEN FACILITY
NPI 1003046566
Clinic/Center - Developmental Disabilities in San Bernardino, CA

Q: What is Shady Glen Facility's NPI number?

The NPI number for Shady Glen Facility is 1003046566. It was assigned to this organization in the NPPES registry on July 19, 2009.

Q: What is Shady Glen Facility's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since July 19, 2009

2571 SHADY GLEN LN, SAN BERNARDINO, CA 92408(909) 783-8806 Get Directions Write a Review

NPPES record last updated: July 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shady Glen Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADY GLEN FACILITY (NPI 1003046566) is a healthcare organization registered as a developmental disabilities in San Bernardino, California and active in the NPI registry since July 2009. The organization lists Patricia Stone, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003046566

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameSHADY GLEN FACILITY

Location Address2571 SHADY GLEN LNSan Bernardino, CA 92408-4174

Mailing Address2571 Shady Glen LnSan Bernardino, CA 92408-4174 · (909) 783-8806

Phone(909) 783-8806

Organization SubpartYesParent: Bridges In Communications, Inc

Authorized OfficialPatricia StoneAdministrator · (909) 910-9604

Enumeration DateJuly 19, 2009

Last NPPES UpdateJuly 29, 2009

✔ NPI 1003046566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

License✔ Licensed in CA · 360911227

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

2571 SHADY GLEN LN, San Bernardino, CA 92408

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shady Glen Facility's NPI number?

The NPI number for Shady Glen Facility is 1003046566. It was assigned to this organization in the NPPES registry on July 19, 2009.

Where is Shady Glen Facility located?

Shady Glen Facility is located at 2571 Shady Glen Ln, San Bernardino, CA 92408. The listed phone number is (909) 783-8806.

What is Shady Glen Facility's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Shady Glen Facility was last updated on July 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.