MTN. SHADOWS COMMUNITY HOMES - JACARANDA
NPI 1346365590
Intermediate Care Facility, Intellectual Disabilities in Escondido, CA

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

The NPI number for Mountain Shadows Support Group is 1346365590. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Mtn. Shadows Community Homes - Jacaranda.

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

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since March 20, 2007

2067 W EL NORTE PKWY, ESCONDIDO, CA 92026(760) 743-3714(760) 743-9937 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mtn. Shadows Community Homes - Jacaranda NPPES

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

MTN. SHADOWS COMMUNITY HOMES - JACARANDA (NPI 1346365590) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Escondido, California and active in the NPI registry since March 2007. The organization lists Guadalupe Bryson, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1346365590

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameMOUNTAIN SHADOWS SUPPORT GROUP

Location Address2067 W EL NORTE PKWYEscondido, CA 92026-1810

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 SubpartYes

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

Enumeration DateMarch 20, 2007

Last NPPES UpdateJuly 24, 2019

✔ NPI 1346365590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X

2067 W EL NORTE PKWY, Escondido, CA 92026

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Other Names 1

Doing Business AsMtn. Shadows Community Homes - Jacaranda

Other Identifiers 1

MedicaidLTC60153ICA

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOUNTAIN SHADOWS SUPPORT GROUP, INC

Intermediate Care Facility, Intellectual Disabilities