MTN. SHADOWS COMMUNITY HOMES- FIG HOUSE
NPI 1992107221
Intermediate Care Facility, Intellectual Disabilities in San Marcos, CA

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

The NPI number for Mountain Shadows Support Group is 1992107221. It was assigned to this organization in the NPPES registry on September 18, 2014. The provider is doing business as Mtn. Shadows Community Homes- Fig House.

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 September 18, 2014

689 DANE DR, SAN MARCOS, CA 92069(760) 743-3714(760) 736-4173 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mtn. Shadows Community Homes- Fig House NPPES

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

MTN. SHADOWS COMMUNITY HOMES- FIG HOUSE (NPI 1992107221) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in San Marcos, California and active in the NPI registry since September 2014. The organization lists Wade Wilde, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1992107221

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameMOUNTAIN SHADOWS SUPPORT GROUP

Location Address689 DANE DRSan Marcos, CA 92069-5825

Mailing Address970 Los Vallecitos Blvd Ste 240San Marcos, CA 92069-1475 · (760) 743-3714 · Fax (760) 736-4173

Phone(760) 743-3714

Fax(760) 736-4173

Organization SubpartNo

Authorized OfficialWade WildeExecutive Director · (760) 743-3714

Enumeration DateSeptember 18, 2014

Last NPPES UpdateMarch 23, 2016

✔ NPI 1992107221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in CA · 550003036

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

689 DANE DR, San Marcos, CA 92069

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Other Names 1

Doing Business AsMtn. Shadows Community Homes- Fig House

Other Identifiers 1

Medicaid550003036CA

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 Mountain Shadows Support Group's NPI number?

The NPI number for Mountain Shadows Support Group is 1992107221. It was assigned to this organization in the NPPES registry on September 18, 2014. The provider is doing business as Mtn. Shadows Community Homes- Fig House.

Where is Mountain Shadows Support Group located?

Mountain Shadows Support Group is located at 689 Dane Dr, San Marcos, CA 92069. The listed phone number is (760) 743-3714.

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.

When was this NPI record last updated?

The NPPES record for Mountain Shadows Support Group was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.