location
search-icon
institution
Mountain Shadows Support Group, Inc.
Nursing Facility/Intermediate Care Facility in Moreno Valley, California
NPI 1063561991

Mountain Shadows Support Group, Inc. is a Nursing Facility/Intermediate Care Facility based in Escondido, CA. Mountain Shadows Support Group, Inc. practices in Moreno Valley, CA. The NPI Number for Mountain Shadows Support Group, Inc. is 1063561991 and holds a License No. LTC80143F (California).

The current practice location address for Mountain Shadows Support Group, Inc. is 27344 Darlene Dr, Moreno Valley, CA and can be reached out via phone at 760-743-3714 and via fax at 760-736-4173. You can also correspond with Mountain Shadows Support Group, Inc. through the mailing address at DARLENE HOUSE, ESCONDIDO, CA - 92026-1810 (mailing address contact number: 760-743-3714).

Location: 27344 Darlene Dr, Moreno Valley, CA, 92026-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063561991
Provider Name
Mountain Shadows Support Group, Inc.
Credential
Provider Entity Type
Organization
Address
27344 Darlene Dr, Moreno Valley, CA, 92026-1810
Phone Number
760-743-3714
Fax Number
760-736-4173
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80143F 05 CA
LTC80143G 05 CA
institution
Provider Business Practice Location Address Details
Address
27344 Darlene Dr
City
Moreno Valley
State
California
Zip
92555-2126
Phone Number
760-743-3714
Fax Number
760-736-4173
person
Provider Business Mailing Address Details
Address
27344 Darlene Dr
City
Moreno Valley
State
California
Zip
92555-2126
Phone Number
760-743-3714
Fax Number
760-736-4173
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
LTC80143F (California)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.