MTN.SHADOWS COMMUNITY HOMES-ASH
NPI 1720103971
Intermediate Care Facility, Intellectual Disabilities in Escondido, CA

NPI Status: Active since March 20, 2007

Contact Information

2067 W EL NORTE PKWY
ESCONDIDO, CA
ZIP 92026
Phone: (760) 743-3714
Fax: (760) 743-9937

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About MTN.SHADOWS COMMUNITY HOMES-ASH

This page provides the complete NPI Profile along with additional information for Mtn.shadows Community Homes-ash, a provider established in Escondido, California operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1720103971 assigned on March 2007. The practitioner's primary taxonomy code is 315P00000X with license number 46989489 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Mtn.shadows Community Homes-ash. The authorized official of this NPI record is Lupe Bryson (Business Office Manager)

NPI
1720103971
Provider Legal Name
MOUNTAIN SHADOWS SUPPORT GROUP, INC.
Other Organization Name
MTN.SHADOWS COMMUNITY HOMES-ASH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2067 W EL NORTE PKWY ESCONDIDO, CA 92026
Location Phone
(760) 743-3714
Location Fax
(760) 743-9937
Mailing Address
2067 W EL NORTE PKWY ESCONDIDO, CA 92026
Mailing Phone
(760) 743-3714
Mailing Fax
(760) 743-9937
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2007
Last Update Date
08-22-2020
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
46989489
License State
CA
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

LUPE BRYSON

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(760) 743-3714

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
LTC60156HMEDICAID (05)CA 

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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 1720103971, 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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 2 → 4 1 → 2 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 2 + 0 + 6 + 9 + 1 + 4 + 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 1720103971.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Nursing Facility/Intermediate Care Facility
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
Intermediate Care Facility, Intellectual Disabilities
2067 W EL NORTE PKWY
ESCONDIDO, CA 92026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720103971, enumerated as an "organization" on March 20, 2007.

The provider is located at 2067 W EL NORTE PKWY ESCONDIDO, CA 92026 and the phone number is (760) 743-3714.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.