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SHADOW MOUNTAIN RECOVERY LLC.
NPI 1952973505
Substance Abuse Rehabilitation Facility in Rio Rancho, NM

Active since July 13, 2021
1550 BRIDGER RD NE, RIO RANCHO, NM 87144(800) 203-8249 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shadow Mountain Recovery Llc. NPPES

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

SHADOW MOUNTAIN RECOVERY LLC. (NPI 1952973505) is a healthcare organization registered as a substance abuse rehabilitation facility in Rio Rancho, New Mexico and active in the NPI registry since July 2021. The organization lists Jackie Holub, Vp, Operations, as its authorized official.

NPPES Registry Identity

NPI1952973505
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSHADOW MOUNTAIN RECOVERY LLC.
Location Address1550 BRIDGER RD NERio Rancho, NM 87144-1579
Mailing Address1550 Bridger Rd NeRio Rancho, NM 87144-1579
Phone(800) 203-8249
Organization SubpartNo
Authorized OfficialJackie HolubVp, Operations · (925) 389-8591
Enumeration DateJuly 13, 2021
NPPES CertifiedJuly 13, 2021
✔ NPI 1952973505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1550 BRIDGER RD NE, Rio Rancho, NM 87144
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Other Names 1

Other NameShadow Mountain Recovery Rio Rancho

Other Identifiers 1

Medicaid15453081NM

Other Providers at the Same Location NPPES 2

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

VISTA HEALTH AND WELLNESS
Clinic/Center
1550 BRIDGER RD NE
RIO RANCHO, NM 87144
Sandoval County (602) 410-2569
MR. STEPHEN ANTHONY SPEARS RN
Registered Nurse
1550 BRIDGER RD NE
RIO RANCHO, NM 87144
Sandoval County (505) 850-5305

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 1952973505. It was assigned to this organization in the NPPES registry on July 13, 2021. The provider is also known as Shadow Mountain Recovery Rio Rancho.

Where is Shadow Mountain Recovery LLC. located?

Shadow Mountain Recovery LLC. is located at 1550 Bridger Rd NE, Rio Rancho, NM 87144. 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 July 13, 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.