MOUNTAIN SHADOWS COMMUNITY HOMES - ELM
NPI 1003931262
Intermediate Care Facility, Intellectual Disabilities in San Marcos, CA
About Mountain Shadows Community Homes - Elm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAIN SHADOWS COMMUNITY HOMES - ELM (NPI 1003931262) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in San Marcos, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 17, 2026 and lists Lupe Bryson, Business Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
An intermediate care facility providing services for individuals with intellectual disabilities.
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2267003
Mountain Shadows Support Group · Escondido, CAFrequently 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 Mountain Shadows Support Group, Inc.'s NPI number?
The NPI number for Mountain Shadows Support Group, Inc. is 1003931262. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Mountain Shadows Community Homes - Elm.
Where is Mountain Shadows Support Group, Inc. located?
Mountain Shadows Support Group, Inc. is located at 600 Rose Ct, San Marcos, CA 92069. The listed phone number is (760) 743-3714.
What is Mountain Shadows Support Group, Inc.'s specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
Does Mountain Shadows Support Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2267003) is associated with this NPI, valid through August 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mountain Shadows Support Group, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
