SHADOW MOUNTAIN RECOVERY, RIO RANCHO
NPI 1437521507
Substance Abuse Rehabilitation Facility in Rio Rancho, NM

Active since October 28, 2015
1114 VILLA RD SE, RIO RANCHO, NM 87124(800) 203-8249 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 6, 2021, Mar 11, 2021, Feb 27, 2017 (3 updates tracked since 2017).

About Shadow Mountain Recovery, Rio Rancho NPPES

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

SHADOW MOUNTAIN RECOVERY, RIO RANCHO (NPI 1437521507), doing business as Shadow Mountain Recovery, Albuquerque, is a healthcare organization registered as a substance abuse rehabilitation facility in Rio Rancho, New Mexico and active in the NPI registry since October 2015. The organization maintains 4 additional practice locations and lists Jackie Elliott, Vice President, as its authorized official.

NPPES Registry Identity

NPI1437521507
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSHADOW MOUNTAIN RECOVERY LLC.
Location Address1114 VILLA RD SERio Rancho, NM 87124-3581
Mailing AddressPo Box 830525, Department # Sf 64Birmingham, AL 35283-0525
Organization SubpartNo
Authorized OfficialJackie ElliottVice President · (925) 389-8591
Enumeration DateOctober 28, 2015
Last NPPES UpdateApril 6, 20213 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
NPI 1437521507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
1114 VILLA RD SE, Rio Rancho, NM 87124

Other Names 3

Other NameShadow Mountain Recovery, Rio Rancho
Doing Business AsShadow Mountain Recovery, Albuquerque
Other NameShadow Mountain Recovery, Santa Fe

Secondary Practice Locations 4

Location 15400 Gibson Blvd SE, Third Floor, Suite AAlbuquerque, NM 87108-4729 · Phone (924) 389-8591
Location 231 Calle Del BarrioSanta Fe, NM 87505-1437 · Phone (800) 203-8249
Location 37005 Prospect Pl NEAlbuquerque, NM 87110-4311 · Phone (800) 203-8249
Location 41550 Bridger Rd NERio Rancho, NM 87144-1579 · Phone (800) 203-8249

Other Providers at the Same Location NPPES

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

Substance Abuse Rehabilitation Facility
1114 VILLA RD SE
RIO RANCHO, NM 87124

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 Recovery LLC.'s NPI number?

The NPI number for Shadow Mountain Recovery LLC. is 1437521507. It was assigned to this organization in the NPPES registry on October 28, 2015. The provider is doing business as Shadow Mountain Recovery, Albuquerque. The provider is also known as Shadow Mountain Recovery, Rio Rancho and Shadow Mountain Recovery, Santa Fe.

Where is Shadow Mountain Recovery LLC. located?

Shadow Mountain Recovery LLC. is located at 1114 Villa Rd SE, Rio Rancho, NM 87124. The listed phone number is (800) 203-8249.

What is Shadow Mountain Recovery 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 Recovery LLC. was last updated on April 6, 2021. 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.