MOUNTAIN SHADOWS COMMUNITY HOMES - OAK
NPI 1235254582
Intermediate Care Facility, Intellectual Disabilities in San Marcos, CA

Q: What is Mountain Shadows Support Group, Inc.'s NPI number?

The NPI number for Mountain Shadows Support Group, Inc. is 1235254582. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Mountain Shadows Community Homes - Oak.

Q: 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.

Active since March 19, 2007

866 VIKING LN, SAN MARCOS, CA 92069(760) 743-3714(760) 743-9937 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mountain Shadows Community Homes - Oak NPPES

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

MOUNTAIN SHADOWS COMMUNITY HOMES - OAK (NPI 1235254582) 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 lists Lupe Bryson, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1235254582

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameMOUNTAIN SHADOWS SUPPORT GROUP, INC.

Location Address866 VIKING LNSan Marcos, CA 92069-5806

Mailing Address2067 W El Norte PkwyEscondido, CA 92026-1810 · (760) 743-3714 · Fax (760) 743-9937

Phone(760) 743-3714

Fax(760) 743-9937

Organization SubpartNo

Authorized OfficialLupe BrysonBusiness Office Manager · (760) 743-3714

Enumeration DateMarch 19, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1235254582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in CA · 46989489

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

866 VIKING LN, San Marcos, CA 92069

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Other Names 1

Doing Business AsMountain Shadows Community Homes - Oak

Other Identifiers 1

MedicaidLTC60744GCA

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 1235254582. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Mountain Shadows Community Homes - Oak.

Where is Mountain Shadows Support Group, Inc. located?

Mountain Shadows Support Group, Inc. is located at 866 Viking Ln, 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.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.