MOUNTAIN SHADOWS SUPPORT GROUP
NPI 1326430711
Nursing Facility/Intermediate Care Facility in Jurupa Valley, CA

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

The NPI number for Mountain Shadows Support Group is 1326430711. It was assigned to this organization in the NPPES registry on February 23, 2015.

Q: What is Mountain Shadows Support Group's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since February 23, 2015

4880 BROOKHILL TER, JURUPA VALLEY, CA 92509(760) 743-3714 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mountain Shadows Support Group NPPES

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

MOUNTAIN SHADOWS SUPPORT GROUP (NPI 1326430711) is a healthcare organization registered as a nursing facility/intermediate care facility in Jurupa Valley, California and active in the NPI registry since February 2015. The organization lists Wade Wilde, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1326430711

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameMOUNTAIN SHADOWS SUPPORT GROUP

Location Address4880 BROOKHILL TERJurupa Valley, CA 92509-4047

Mailing Address970 Los Vallecitos Blvd, Suite 240San Marcos, CA 92069-1473 · (760) 743-3714

Phone(760) 743-3714

Organization SubpartNo

Authorized OfficialWade WildeExecutive Director · (760) 743-3714

Enumeration DateFebruary 23, 2015

✔ NPI 1326430711 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

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.

4880 BROOKHILL TER, Jurupa Valley, CA 92509

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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's NPI number?

The NPI number for Mountain Shadows Support Group is 1326430711. It was assigned to this organization in the NPPES registry on February 23, 2015.

Where is Mountain Shadows Support Group located?

Mountain Shadows Support Group is located at 4880 Brookhill Ter, Jurupa Valley, CA 92509. The listed phone number is (760) 743-3714.

What is Mountain Shadows Support Group'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 was last updated on February 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.