SHADOW MOUNTAIN RECOVERY LLC.
NPI 1487226031
Clinic/Center - Rehabilitation, Substance Use Disorder in Albuquerque, NM

NPI Status: Active since July 13, 2021

Contact Information

7005 PROSPECT PL NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (800) 203-8249

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 32D2179728
  • CLIA Cert. Type: Other - SUBSTANCE ABUSE TREATMENT
  • CLIA Exp. Date: 02-27-2026

About SHADOW MOUNTAIN RECOVERY LLC.

This page provides the complete NPI Profile along with additional information for Shadow Mountain Recovery Llc., a provider established in Albuquerque, New Mexico operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1487226031 assigned on July 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jackie Holub (Vp, Operations)

NPI
1487226031
Provider Name
SHADOW MOUNTAIN RECOVERY LLC.
Entity Type
Organization
Location Address
7005 PROSPECT PL NE ALBUQUERQUE, NM 87110
Location Phone
(800) 203-8249
Mailing Address
7005 PROSPECT PL NE ALBUQUERQUE, NM 87110
Mailing Phone
(800) 203-8249
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2021
Last Update Date
07-13-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACKIE HOLUB

Authorized Official Title
VP, OPERATIONS
Authorized Official Phone
(925) 389-8591

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
32D2179728
Facility Type
Other - SUBSTANCE ABUSE TREATMENT
Certificate Effective Date
February 29, 2024
Certificate Expiration Date
February 27, 2026
Laboratory Director
LEA HARRISON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shadow Mountain Recovery Llc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487226031, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 2 → 4 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 4 + 2 + 1 + 2 + 0 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1487226031.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Clinic/Center (Health Service)
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Counselor (Mental Health)
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Nurse Practitioner (Psychiatric/Mental Health)
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Community/Behavioral Health
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Social Worker
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487226031, enumerated as an "organization" on July 13, 2021.

The provider is located at 7005 PROSPECT PL NE ALBUQUERQUE, NM 87110 and the phone number is (800) 203-8249.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.