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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
Phone(760) 743-3714
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
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Other Names 1

Doing Business AsSpecial Kids Homes-darlene House

Other Identifiers 2

MedicaidLTC80143FCA
MedicaidLTC80143GCA

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 Mountain Shadows Support Group, Inc.'s NPI number?

The NPI number for Mountain Shadows Support Group, Inc. is 1063561991. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Mountain Shadows Support Group, Inc. located?

Mountain Shadows Support Group, Inc. is located at 27344 Darlene Dr, Moreno Valley, CA 92555. 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 Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Mountain Shadows Support Group, Inc. was last updated on September 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.