SHADOW MOUNTAIN RECOVERY, TAOS
NPI 1295154888
Substance Abuse Rehabilitation Facility in Taos, NM

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

The NPI number for Shadow Mountain LLC. is 1295154888. It was assigned to this organization in the NPPES registry on April 10, 2014. The provider is doing business as Shadow Mountain Recovery, Taos.

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 April 10, 2014

250 SHADOW MOUNTAIN RD., TAOS, NM 87571(575) 751-4851 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2017, Feb 27, 2017 (2 updates tracked since 2017).

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About Shadow Mountain Recovery, Taos NPPES

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

SHADOW MOUNTAIN RECOVERY, TAOS (NPI 1295154888) is a healthcare organization registered as a substance abuse rehabilitation facility in Taos, New Mexico and active in the NPI registry since April 2014. The organization lists Jackie Holub, Vice President, as its authorized official.

NPPES Registry Identity

NPI1295154888

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameSHADOW MOUNTAIN LLC.

Location Address250 SHADOW MOUNTAIN RD.Taos, NM 87571

Mailing AddressPo Box 830525, Department # Sf 57Birmingham, AL 35283-0525 · (931) 451-7757 · Fax (931) 933-7762

Phone(575) 751-4851

Organization SubpartNo

Authorized OfficialJackie HolubVice President · (925) 389-8591

Enumeration DateApril 10, 2014

Last NPPES UpdateMay 10, 20172 updates tracked since enumeration

✔ NPI 1295154888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in NM · STATE WAIVER

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.

250 SHADOW MOUNTAIN RD., Taos, NM 87571

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Other Names 1

Doing Business AsShadow Mountain Recovery, Taos

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 1295154888. It was assigned to this organization in the NPPES registry on April 10, 2014. The provider is doing business as Shadow Mountain Recovery, Taos.

Where is Shadow Mountain LLC. located?

Shadow Mountain LLC. is located at 250 Shadow Mountain Rd., Taos, NM 87571. The listed phone number is (575) 751-4851.

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 May 10, 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.