Special Kids Homes-Darlene House
LBN: Mountain Shadows Support Group, Inc.
Special Kids Homes-Darlene House is an health care organization with primary practice located at 27344 Darlene Dr , Moreno Valley CA 92555-2126. 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, Inc. can be contacted via phone (760) 743-3714, or through Bryson, Lupe via phone (760) 743-3714.
Contact Information
Primary practice address
27344 Darlene Dr
Moreno Valley CA 92555-2126
Phone: (760) 743-3714
Fax: (760) 736-4173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | LTC80143F | California |
Profile Details
| NPI number | 1063561991 |
|---|---|
| LBN Legal business name | Mountain Shadows Support Group, Inc. |
| DBA Doing business as | Special Kids Homes-Darlene House |
| Authorized official | Bryson, Lupe |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Sep 9th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063561991 | NPPES |
| California | MEDICAID | LTC80143F | |
| California | MEDICAID | LTC80143G |
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