SHADOW MOUNTAIN RECOVERY, CASCADE
NPI 1154733558
Substance Abuse Rehabilitation Facility in Cascade, CO

Q: What is Shadow Mountain LLC.'s NPI number?

The NPI number for Shadow Mountain LLC. is 1154733558. It was assigned to this organization in the NPPES registry on May 20, 2014. The provider is doing business as Shadow Mountain Recovery, Cascade.

Q: What is Shadow Mountain LLC.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since May 20, 2014

5250 PIKES PEAK HIGHWAY, CASCADE, CO 80809(719) 684-7846(719) 684-7841 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shadow Mountain Recovery, Cascade NPPES

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

SHADOW MOUNTAIN RECOVERY, CASCADE (NPI 1154733558) is a healthcare organization registered as a substance abuse rehabilitation facility in Cascade, Colorado and active in the NPI registry since May 2014. The organization lists Jackie Holub, Vice President, as its authorized official.

NPPES Registry Identity

NPI1154733558

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameSHADOW MOUNTAIN LLC.

Location Address5250 PIKES PEAK HIGHWAYCascade, CO 80809

Mailing AddressPo Box 830525, Department # Sf 56Birmingham, AL 35283-0525 · (931) 451-7757 · Fax (931) 933-7762

Phone(719) 684-7846

Fax(719) 684-7841

Organization SubpartNo

Authorized OfficialJackie HolubVice President · (925) 389-8591

Enumeration DateMay 20, 2014

Last NPPES UpdateApril 27, 2017

✔ NPI 1154733558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

5250 PIKES PEAK HIGHWAY, Cascade, CO 80809

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Other Names 1

Doing Business AsShadow Mountain Recovery, Cascade

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 Shadow Mountain LLC.'s NPI number?

The NPI number for Shadow Mountain LLC. is 1154733558. It was assigned to this organization in the NPPES registry on May 20, 2014. The provider is doing business as Shadow Mountain Recovery, Cascade.

Where is Shadow Mountain LLC. located?

Shadow Mountain LLC. is located at 5250 Pikes Peak Highway, Cascade, CO 80809. The listed phone number is (719) 684-7846.

What is Shadow Mountain LLC.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Shadow Mountain LLC. was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.