Mountain Shadows Support Group

LBN: Mountain Shadows Support Group
Mountain Shadows Support Group is an health care organization with primary practice located at 4880 Brookhill Ter , Jurupa Valley CA 92509-4047. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Mountain Shadows Support Group can be contacted via phone (760) 743-3714, or through Wilde, Wade via phone (760) 743-3714.

Contact Information

Primary practice address
4880 Brookhill Ter Jurupa Valley CA 92509-4047
Phone: (760) 743-3714
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilde, Wade
Phone: (760) 743-3714

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X

Profile Details

NPI number 1326430711
LBN Legal business name Mountain Shadows Support Group
DBA Doing business as
Authorized official Wilde, Wade
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2015
Last updated Feb 23rd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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