SPECIAL KIDS HOMES-DARLENE HOUSE
NPI 1063561991
Nursing Facility/Intermediate Care Facility in Moreno Valley, CA

Active since January 09, 2007
27344 DARLENE DR, MORENO VALLEY, CA 92555(760) 743-3714(760) 736-4173 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Special Kids Homes-darlene House NPPES

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

SPECIAL KIDS HOMES-DARLENE HOUSE (NPI 1063561991) is a healthcare organization registered as a nursing facility/intermediate care facility in Moreno Valley, California and active in the NPI registry since January 2007. The organization lists Lupe Bryson, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063561991
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameMOUNTAIN SHADOWS SUPPORT GROUP, INC.
Location Address27344 DARLENE DRMoreno Valley, CA 92555-2126
Mailing AddressDarlene House, 2067 W. El Norte Pkwy.Escondido, CA 92026-1810 · (760) 743-3714 · Fax (760) 743-9937
Fax(760) 736-4173
Organization SubpartNo
Authorized OfficialLupe BrysonBusiness Office Manager · (760) 743-3714
Enumeration DateJanuary 9, 2007
Last NPPES UpdateSeptember 9, 2010
NPI 1063561991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License Licensed in CA · LTC80143F
Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

27344 DARLENE DR, Moreno Valley, CA 92555

Other Names 1

Doing Business AsSpecial Kids Homes-darlene House

Other Identifiers 2

MedicaidLTC80143FCA
MedicaidLTC80143GCA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063561991, enumerated as an "organization" on January 09, 2007.

The provider is located at 27344 DARLENE DR MORENO VALLEY, CA 92555 and the phone number is (760) 743-3714.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.